Organization
VAIL CLINIC INC
Active
Parent organization
VAIL CLINIC INC
Other names
HOWARD HEAD SPORTS MEDICINE AT BASALT
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAIL CLINIC INC
Authorized official
MICHAEL G BROWN (SVP & CFO)
(970) 479-7272
Entity
Organization
Contact information
Practice address
200 ROBINSON ST, STE D300, BASALT, CO 81621-8464
(970) 479-7272
Mailing address
PO BOX 840220, KANSAS CITY, MO 64184-0220
(970) 777-2850
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/09/2021
Last updated
01/09/2025
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