MIDVALLEY FAMILY PRACTICE PC – NPI #1568559748
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MIDVALLEY FAMILY PRACTICE PC is a provider located in BASALT, CO. NPPES has assigned the NPI number 1568559748 to MIDVALLEY FAMILY PRACTICE PC on October 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Jul 07, 2020. 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 MIDVALLEY FAMILY PRACTICE PC below.

NPI Profile for
MIDVALLEY FAMILY PRACTICE PC

NPI Number
1568559748
Enumeration Date

(more than 19 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
MIDVALLEY FAMILY PRACTICE PC
Primary location
1450 E VALLEY RD
SUITE 102
BASALT, CO 81621
Phone: (970) 927-4666 Fax: (970) 927-6623
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HEATHER BORONSKI
OFFICE MANAGER
Phone: (970) 927-4666
Updated
Certification Date
Jul 07, 2020

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.

Identifiers

Identifiers for MIDVALLEY FAMILY PRACTICE PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO04826027
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
207Q00000X
- Family Medicine (Primary)
CO 30756
363LF0000X
- Nurse Practitioner / Family
251S00000X
- Community/Behavioral Health
124Q00000X
- Dental Hygienist

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.