Vail Clinic, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

17095C Issued in CO

Legal business name

VAIL CLINIC, INC.

Practice address

320 Beard Creek Road
Edwards, CO 81632

Phone

(970) 569-7455

Fax

(970) 569-7454

NPI assigned

May 22, 2008

Organization subpart

Yes

Parent organization

VAIL CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Marchita (Markey) May Butler, RN

Title

Executive Director

Phone

(970) 569-7455

Specialties & licenses 2

Addresses

Other names 1

• Vail Valley Home Health and Mountain Hospice Doing business as

Part of

Vail Valley Med Center

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1710144159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40,000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-569-7455",
            "fax_number": "970-569-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BEARD CREEK ROAD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-569-7455",
            "fax_number": "970-569-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAIL CLINIC, INC.",
        "enumeration_date": "2008-05-22",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MARCHITA (MARKEY)",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-569-7455",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CO",
            "license": "17095C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vail Valley Home Health and Mountain Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vail Clinic, Inc
• Vail Clinic, Inc.
• Vail Clinic, Inc.
• Vail Clinic, Inc.
• Vail Clinic, Inc.
• Vail Infectious Disease, P.C.
• Vail Med Inc
• Vail Oral and Maxillofacial Radiology, LLC
• Vail Plastic & Cosmetic Surgery Center
• Vail Plastic & Cosmetic Surgery Center

• Community Based Hospice Care Agency in Edwards, CO
• Providers in Edwards, CO by specialty
• Community Based Hospice Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.