COLORADO MOUNTAIN MEDICAL, LLC – NPI #1295515252
Clinic/Center

COLORADO MOUNTAIN MEDICAL, LLC is an AHC clinic located in AVON, CO. NPPES has assigned the NPI number 1295515252 to COLORADO MOUNTAIN MEDICAL, LLC on October 05, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on Dec 23, 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 COLORADO MOUNTAIN MEDICAL, LLC below.

NPI Profile for
COLORADO MOUNTAIN MEDICAL, LLC

NPI Number
1295515252
Enumeration Date

(more than 2 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
COLORADO MOUNTAIN MEDICAL, LLC
Primary location
50 BUCK CREEK RD
AVON, CO 81620-5428
Phone: (970) 926-6340 Fax: (970) 926-6348
Mailing address
PO BOX 4330
AVON, CO 81620-4330
Phone: (970) 926-6340 Fax: (970) 926-6348
Organization Subpart
No
Authorized Official
ADA BORG
CHIEF OPERATING OFFICER
Phone: (970) 926-6340
Updated
Certification Date
Dec 20, 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
261QM1300X
- Clinic/Center / Multi-Specialty (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.