VAIL VALLEY SURGERY CENTER LLC NPI 1003944125

NPI Information

  • NPI: 1003944125
  • Provider Name: VAIL VALLEY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: VAIL VALLEY SURGERY CENTER VAIL
  • CLIA Number: 06D1026653
  • Address: 181 W MEADOW DR # 3R
    VAIL, CO
    ZIP 81657
  • Phone: (970) 476-8200

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NPI Details

VAIL VALLEY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Vail, CO. VAIL VALLEY SURGERY CENTER, LLC NPI is 1003944125. The provider is registered as an organization entity type.
The provider Is Doing Business As Vail Valley Surgery Center Vail.

The provider's business location address is:

181 W MEADOW DR # 3R
VAIL, CO
ZIP 81657-242
Phone: (970) 476-8200
Fax: (970) 477-8215

The provider's authorized official is Jacqueline A Deveric .
The authorized official title is Director and has the following contact phone number (970) 476-8202.

The CLIA number assigned to this NPI record is 06D1026653 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of deep implant from bone (HCPCS:20680)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Removal or repair of wrist cartilage using an endoscope (HCPCS:29846)
  • Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc (HCPCS:63030)
  • Repair of ligament of finger or hand and finger joint (HCPCS:26540)
  • Fusion of thumb at wrist with bone graft (HCPCS:26842)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Repair of joint capsule of finger (HCPCS:26525)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Removal of connective tissue of palm and release of finger, first digit (HCPCS:26123)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 3/1/2007 and was last updated on 4/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical0704COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
167801731MEDICAIDCOLORADO
2C473498MEDICARE ID-TYPE UNSPECIFIEDCOLORADOMEDICARE PROVIDER #

What is NPI?

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This page was last updated on: 3/30/2025

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