COLORADO MOUNTAIN MEDICAL, LLC; NPI #1376252502

Contact Information

COLORADO MOUNTAIN MEDICAL, LLC

50 BUCK CREEK RD STE 300
AVON, CO 81620-5428

Phone: 970-926-6340
Fax: 970-926-6348
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for COLORADO MOUNTAIN MEDICAL, LLC

NPI Number	`1376252502`
LBN Legal business name	COLORADO MOUNTAIN MEDICAL, LLC
Authorized official	DIANE VOYTKO - (PHYSICIAN PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/16/2022
Last updated	11/16/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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