NPIMap

Organization Active NPI

Vail Clinic Inc

  • Clinic/Center
  • Dillon, CO
National Provider Identifier
1386228682
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VAIL CLINIC INC
Practice address
365 Dillon Ridge Rd
Ste 1200
Dillon, CO 80435-6344
Phone
(970) 479-7272
NPI assigned
May 12, 2021
Organization subpart
Yes
Parent organization
VAIL CLINIC INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Michael G Brown
Title
SVP & Cfo
Phone
(970) 479-7272

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031105000224 CO Part B Supplier - Clinic/Group Practice 3577475714 Receives reassigned benefits from 206 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eagle, CO; Edwards, CO; Frisco, CO; Gypsum, CO; Steamboat Springs, CO; Vail, CO; Dillon, CO; Breckenridge, CO…

National Provider Directory

National Provider Directory
Tax ID family
Vail Valley Med Center (30 organizations share this tax ID)
Part of
Vail Valley Med Center

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

365 Dillon Ridge Rd
Ste 1200
Dillon, CO 80435-6344

Mailing address

PO Box 840220
Kansas City, MO 64184-0220
Phone (970) 777-2850

Other names 1

NPPES NPI Registry
  • DILLON IMAGING SERVICES X-RAY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2025.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1386228682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641840220",
            "telephone_number": "970-777-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 DILLON RIDGE RD",
            "address_2": "STE 1200",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804356344",
            "telephone_number": "970-479-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAIL CLINIC INC",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SVP & CFO",
        "authorized_official_telephone_number": "970-479-7272"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DILLON IMAGING SERVICES X-RAY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DILLON IMAGING SERVICES X-RAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dillon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.