Organization · Type 2 NPI

Vail Clinic, Inc.

Durable Medical Equipment & Medical Supplies · Edwards, CO

NPI number 1114673415 Active

Practice location

320 Beard Creek Rd Ste 1100
Edwards, CO 81632-6433

Call (970) 476-1225 Map

Mailing address

PO Box 840220
Kansas City, MO 64184-0220

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

5 other providers at this address

NPI record

NPI: 1114673415
Entity type: Organization (Type 2)
Issued: Feb 24, 2022
Last updated: Jan 8, 2025
Status: Active
Subpart: Yes of Vail Clinic, Inc.

Other names

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Howard Head Sports Medicine at Edwards · doing business as
Howard Head Sports Medicine at Edwards · doing business as

Authorized official

Michael G Brown
SVP & CFO
(970) 476-7272

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114673415

Vail Clinic, Inc.'s National Provider Identifier is 1114673415, issued on Feb 24, 2022. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Edwards, CO. The record was last updated on Jan 8, 2025.