COLORADO MOUNTAIN MEDICAL, LLC
NPI 1215553409
Clinic/Center - Multi-Specialty in Eagle, CO
NPI Status: Active since June 23, 2020
Contact Information
377 SYLVAN LAKE RD STE 210
EAGLE, CO
ZIP 81631
Phone: (970) 926-6340
Fax: (970) 926-6348
- Organization
- Clinic/Center
- Multi-Specialty
About COLORADO MOUNTAIN MEDICAL, LLC
This page provides the complete NPI Profile along with additional information for Colorado Mountain Medical, Llc, a provider established in Eagle, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1215553409 assigned on June 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Colorado Mountain Medical, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Diane Voytko (Physician President)
- NPI
- 1215553409
- Provider Name
- COLORADO MOUNTAIN MEDICAL, LLC
- Entity Type
- Organization
- Location Address
- 377 SYLVAN LAKE RD STE 210 EAGLE, CO 81631
- Location Phone
- (970) 926-6340
- Location Fax
- (970) 926-6348
- Mailing Address
- PO BOX 4330 AVON, CO 81620
- Mailing Phone
- (970) 845-2903
- Mailing Fax
- (970) 926-6348
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2020
- Last Update Date
- 06-08-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 6 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 5 | 5 | 3 | 4 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 10 | 5 | 6 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 0 + 5 + 6 + 4 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1215553409 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619495033 | MYLES COX SIBLEY PA-C Individual | Physician Assistant | 377 SYLVAN LAKE RD STE 210 EAGLE, CO 81631 (970) 926-6340 |
| 1588245294 | MILES HENSON Individual | Physician Assistant | 377 SYLVAN LAKE RD STE 210 EAGLE, CO 81631 (970) 926-6340 |
| 1750802674 | SARAH WILSON Individual | Nurse Practitioner (Family) | 377 SYLVAN LAKE RD STE 210 EAGLE, CO 81631 (709) 266-3409 |
| 1881274827 | COLORADO MOUNTAIN MEDICAL, LLC Organization | Community/Behavioral Health | 377 SYLVAN LAKE RD STE 210 EAGLE, CO 81631 (970) 926-6350 |
| 1871535781 | JONA S NYKREIM PA Individual | Physician Assistant | 377 SYLVAN LAKE RD STE 210 EAGLE, CO 81631 (970) 926-6340 |
| 1417610064 | EAGLE VALLEY BEHAVIORAL HEALTH Organization | Community/Behavioral Health | 377 SYLVAN LAKE RD STE 210 EAGLE, CO 81631 (970) 445-2489 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215553409, enumerated in the NPI registry as an "organization" on June 23, 2020
The provider is located at 377 Sylvan Lake Rd Ste 210 Eagle, Co 81631 and the phone number is (970) 926-6340
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
This NPI record was last updated on June 23, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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