Organization · Type 2 NPI

VVMC Diversified Services

Cardiovascular Disease Physician · Vail, CO

NPI number 1942890876 Active

Practice location

181 W Meadow Dr
Vail, CO 81657-5242

Call (970) 476-2451 Map

Mailing address

PO Box 841152
Kansas City, MO 64184-1152

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Infectious Disease Physician	207RI0200X	None listed
Plastic Surgery Physician	208200000X	None listed
Surgery Physician	208600000X	None listed
Plastic and Reconstructive Surgery Physician	2086S0122X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

201 other providers at this address

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NPI record

NPI: 1942890876
Entity type: Organization (Type 2)
Issued: Jan 25, 2021
Last updated: Jan 9, 2025
Status: Active
Subpart: Yes of VVMC Diversified Services

Other names

<unavail>
Vail Health Clinic · doing business as
Vail Health Clinic · doing business as

Authorized official

Michael G Brown
SVP & CFO
(970) 479-7272

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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 1942890876

VVMC Diversified Services's National Provider Identifier is 1942890876, issued on Jan 25, 2021. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Vail, CO. The record was last updated on Jan 9, 2025.