MOUNTAIN FAMILY HEALTH CENTERS GYPSUM – NPI #1710661194
Clinic/Center

MOUNTAIN FAMILY HEALTH CENTERS GYPSUM is an AHC clinic located in GYPSUM, CO. NPPES has assigned the NPI number 1710661194 to MOUNTAIN FAMILY HEALTH CENTERS GYPSUM on June 14, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOUNTAIN FAMILY HEALTH CENTERS GYPSUM” is a dba name, the actual legal business name for this organization is MOUNTAIN FAMILY HEALTH CENTERS. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Jun 11, 2024. 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 MOUNTAIN FAMILY HEALTH CENTERS GYPSUM below.

NPI Profile for
MOUNTAIN FAMILY HEALTH CENTERS

NPI Number
1710661194
Enumeration Date

(about 3 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
MOUNTAIN FAMILY HEALTH CENTERS
Doing Business As (dba): MOUNTAIN FAMILY HEALTH CENTERS GYPSUM
Primary location
410 MCGREGOR DRIVE
GYPSUM, CO 81637
Phone: (970) 945-2840 Fax: (970) 945-2893
Mailing address
PO BOX 339
GLENWOOD SPRINGS, CO 81602-0339
Phone: (970) 928-1635 Fax:
Organization Subpart
Yes - MOUNTAIN FAMILY HEALTH CENTERS GYPSUM is subpart of another organization.
Authorized Official
STEVEN LEAZER
CFO
Phone: (970) 945-2840
Updated
Certification Date
Jun 11, 2024

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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (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.