VVMC DIVERSIFIED SERVICES NPI 1326222027

NPI Information

  • NPI: 1326222027
  • Provider Name: VVMC DIVERSIFIED SERVICES
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: EAGLE CARE CLINIC
  • Address: 320 BEARD CREEK ROAD
    EDWARDS, CO
    ZIP 81632
  • Phone: (970) 569-7520

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NPI Details

VVMC DIVERSIFIED SERVICES is a clinic center in Edwards, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VVMC DIVERSIFIED SERVICES NPI is 1326222027. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagle Care Clinic.

The provider's business location address is:

320 BEARD CREEK ROAD
EDWARDS, CO
ZIP 81632
Phone: (970) 569-7520
Fax: (970) 569-7522

The provider's authorized official is Charles W Crevling .
The authorized official title is Chief Strategic Officer and has the following contact phone number (970) 479-7238.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 4/27/2009.

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
1261Q00000XClinic/Center0272COLORADOYes

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
1COB4120MEDICARE PINCOLORADO
204010757MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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