Organization Active NPI

Win Health Institute, LLC

  • Health Maintenance Organization
  • Basalt, CO
National Provider Identifier
1669790572
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1215083241 Issued in CO
Legal business name
WIN HEALTH INSTITUTE, LLC
Practice address
110 Midland Avenue
Suite 2
Basalt, CO 81621
Phone
(970) 279-4099
Fax
(970) 279-4106
NPI assigned
May 17, 2010
Last updated
Oct 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Dr. David S. Jensen, D.C.NPI 1215083241
Title
Owner/Doctor
Phone
(970) 279-4099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1215083241 CO Primary

Addresses

Primary practice location

110 Midland Avenue
Suite 2
Basalt, CO 81621

Mailing address

P.O. Box 4618
Suite 2
Basalt, CO 81621
Phone (970) 279-4099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111123000279 CO Part B Supplier - Clinic/Group Practice 5698949998 Receives reassigned benefits from 1 practitioner
Practice locations: Carbondale, CO

National Provider Directory

National Provider Directory

Locations

110 Midland Ave
#2
Basalt, CO 81621
Phone (970) 279-4099

401 Tree Farm Dr
Carbondale, CO 81623
Phone (970) 279-4099

60 El Jebel Rd
Unit 56
Carbondale, CO 81623
Phone (970) 279-4099

100 Midland Ave
Unit 250
Glenwood Springs, CO 81601
Phone (970) 279-4099

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1669790572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4618",
            "address_2": "SUITE 2",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "81621",
            "telephone_number": "970-279-4099",
            "fax_number": "970-279-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MIDLAND AVENUE",
            "address_2": "SUITE 2",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "81621",
            "telephone_number": "970-279-4099",
            "fax_number": "970-279-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIN HEALTH INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "970-279-4099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "1215083241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.