EAGLE OUTPATIENT SERVICES – NPI #1174170427
Clinic/Center

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).

EAGLE OUTPATIENT SERVICES is an AHC clinic located in EAGLE, CO. NPPES has assigned the NPI number 1174170427 to EAGLE OUTPATIENT SERVICES on August 21, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAGLE OUTPATIENT SERVICES” is a dba name, the actual legal business name for this organization is VAIL CLINIC INC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Jan 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAGLE OUTPATIENT SERVICES below.

NPI Profile for
VAIL CLINIC INC

NPI Number
1174170427
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VAIL CLINIC INC
Doing Business As (dba): EAGLE OUTPATIENT SERVICES
Primary location
377 SYLVAN LAKE RD STE 130
EAGLE, CO 81631-6779
Phone: (970) 328-6732 Fax:
Mailing address
PO BOX 840220
KANSAS CITY, MO 64184-0220
Phone: (970) 777-2850 Fax:
Organization Subpart
Yes - EAGLE OUTPATIENT SERVICES is subpart of another organization.
Authorized Official
MICHAEL BROWN
SVP & CFO
Phone: (970) 479-7272
Updated
Certification Date
Jan 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.