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Vvmc Diversified Services

Internal Medicine, Cardiovascular Disease in Leadville, CO. Organization (NPI-2).

NPI number1962029447
StatusActive
Last updated in NPPESOct 6, 2023

Details

NPI
1962029447
Entity type
Organization (NPI-2)
Legal business name
Vvmc Diversified Services
Organization subpart
No
Enumeration date
Jun 30, 2020
Certification date
Oct 6, 2023
Last updated
Oct 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease––Yes
207R00000X Internal Medicine––

Other names

  • Vail Health Clinic Leadville (Doing Business As)

Practice location

822 W 4th St
Leadville, CO 80461-3861

Phone 719-486-0230

Mailing address

Po Box 841152
Kansas City, MO 64184-1152

Phone 970-777-2850

Authorized official

John D Higgins
Svp Chief Financial Officer
9704795131

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