NPIMap

Organization Active NPI

Vail Clinic, Inc.

Doing business as Keystone Medical Center

  • Specialist
  • Keystone, CO
National Provider Identifier
1386725406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0563 Issued in CO
Legal business name
VAIL CLINIC, INC.
Doing business as
Keystone Medical Center
Practice address
1252 County Rd 8
Keystone, CO 80435
Phone
(970) 468-6677
Fax
(970) 569-7453
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Elizabeth Propp
Title
Cfo
Phone
(970) 479-7238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0563 CO Primary

Addresses

Primary practice location

1252 County Rd 8
Keystone, CO 80435

Mailing address

PO Box 270596
Louisville, CO 80027-5009
Phone (970) 569-7478

Other identifiers 1

IdentifierTypeStateIssuer
33656321MedicaidCO

Other names 1

  • Keystone Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Keystone Medical Center30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386725406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270596",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800275009",
            "telephone_number": "970-569-7478",
            "fax_number": "970-569-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 COUNTY RD 8",
            "city": "KEYSTONE",
            "state": "CO",
            "postal_code": "80435",
            "telephone_number": "970-468-6677",
            "fax_number": "970-569-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROPP",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-479-7238",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "0563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33656321",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keystone, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.