# VAIL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VAIL CLINIC INC
- **Other names:** HOWARD HEAD SPORTS MEDICINE AT EAGLE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164077897
- **Legal business name:** VAIL CLINIC INC
- **Authorized official:** MICHAEL G BROWN (SVP & CFO)
- **Authorized official phone:** (970) 479-7272

## Contact information

- **Practice address:** 377 SYLVAN LAKE RD STE 100, EAGLE, CO 81631-6779
- **Practice address phone:** (970) 328-6715
- **Mailing address:** PO BOX 840220, KANSAS CITY, MO 64184-0220
- **Mailing address phone:** (970) 777-2850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 01/09/2025