NPIMap

Organization Active NPI

Mountain Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Edwards, CO
National Provider Identifier
1679304091
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOUNTAIN FAMILY HEALTH CENTERS
Practice address
150 Miller Ranch Rd RM 243
Edwards, CO 81632-6420
Phone
(970) 945-2840
Fax
(970) 945-2893
NPI assigned
Aug 8, 2024
Organization subpart
Yes
Parent organization
MOUNTAIN FAMILY HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Steven Michael Leazer
Title
Chief Financial Officer
Phone
(970) 928-1682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

150 Miller Ranch Rd RM 243
Edwards, CO 81632-6420

Mailing address

PO Box 339
Glenwood Springs, CO 81602-0339
Phone (970) 945-2840

Other names 1

  • Mountain Family Health Centers Edwards CMC Dental Site Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain Family Health Centers14 organizations share this tax ID, including this one
Part of
Mountain Family Health Centers

Other organizations with this tax ID 13

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

View all 13

Locations

150 Miller Ranch Rd
Rm 243
Edwards, CO 81632

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1679304091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020339",
            "telephone_number": "970-945-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MILLER RANCH RD RM 243",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326420",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN FAMILY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN FAMILY HEALTH CENTERS",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "LEAZER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "970-928-1682"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Family Health Centers Edwards CMC Dental Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.