VAIL HEALTH CLINIC LEADVILLE – NPI #1962029447
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

VAIL HEALTH CLINIC LEADVILLE is a provider located in LEADVILLE, CO. NPPES has assigned the NPI number 1962029447 to VAIL HEALTH CLINIC LEADVILLE on June 30, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VAIL HEALTH CLINIC LEADVILLE” is a dba name, the actual legal business name for this organization is VVMC DIVERSIFIED SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 3 years ago on Oct 06, 2023. 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 VAIL HEALTH CLINIC LEADVILLE below.

NPI Profile for
VVMC DIVERSIFIED SERVICES

NPI Number
1962029447
Enumeration Date

(about 6 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
VVMC DIVERSIFIED SERVICES
Doing Business As (dba): VAIL HEALTH CLINIC LEADVILLE
Primary location
822 W 4TH ST
LEADVILLE, CO 80461-3861
Phone: (719) 486-0230 Fax:
Mailing address
PO BOX 841152
KANSAS CITY, MO 64184-1152
Phone: (970) 777-2850 Fax:
Organization Subpart
No
Authorized Official
JOHN HIGGINS
SVP CHIEF FINANCIAL OFFICER
Phone: (970) 479-5131
Updated
Certification Date
Oct 06, 2023

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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
207R00000X
- Internal Medicine

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.