National Provider Identifier Database

COLORADO MOUNTAIN MEDICAL LLC
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

COLORADO MOUNTAIN MEDICAL, LLC
429 EDWARDS ACCESS RD UNIT A207
EDWARDS, CO81632-5559
Phone: 970-926-6340
Fax: 970-926-6348
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Clinical 103TC0700X
Clinical 1041C0700X
Mental Health 101YM0800X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for COLORADO MOUNTAIN MEDICAL, LLC

NPI Number 1093328320
Legal business name
LBN
COLORADO MOUNTAIN MEDICAL, LLC
Authorized official DIANE VOYTKO - (PHYSICIAN PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/26/2020
Last updated 01/26/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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