Walsen Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WALSEN CLINIC

Practice address

711 Walsen Ave Ste B
Walsenburg, CO 81089-2406

Phone

(719) 738-3164

Fax

(719) 738-3165

NPI assigned

Feb 8, 2007

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mona Vigil

Title

Receptionist Billing

Phone

(719) 738-3164

Specialties & licenses 1

Addresses

Locations

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.

• Kevin Leonard McClintock, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Pueblo, CO
  • NPI 1366400178
  NPD (past)
• Wilmer Perez, MD

  • Pulmonary Disease Physician
  • Federal Way, WA
  • NPI 1922037589
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1750422275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WALSEN AVE. SUITE B",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "81089",
            "telephone_number": "719-738-3164",
            "fax_number": "719-738-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 WALSEN AVE STE B",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892406",
            "telephone_number": "719-738-3164",
            "fax_number": "719-738-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSEN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "RECEPTIONIST  BILLING",
        "authorized_official_telephone_number": "719-738-3164",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Theodore Vigil, D.C.
• Jerriann Vigil, PHYSICIAN ASSISTANT
• Sandeep Suresh Vijan, MD
• Solomon Villalon, M.D.
• Susan Kae Walker, NP
• Dana Walsh
• Philip Owen Warlick, DDS
• Timothy Whitthorne III
• William T Beverly
• Denise Danielle Williams, PHYSICAL THERAPIST

• Health Service Clinic/Center in Walsenburg, CO
• Providers in Walsenburg, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.