SHAW CANCER CENTER - SERVICE OF VAIL HEALTH HOSPITAL
NPI 1144876251
General Acute Care Hospital in Edwards, CO

NPI Status: Active since August 14, 2019

Contact Information

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632
Phone: (970) 569-7429

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  • Organization
  • General Acute Care Hospital
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 06D0985894
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 07-24-2025

About SHAW CANCER CENTER - SERVICE OF VAIL HEALTH HOSPITAL

This page provides the complete NPI Profile along with additional information for Shaw Cancer Center - Service Of Vail Health Hospital, a provider established in Edwards, Colorado operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1144876251 assigned on August 2019. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Shaw Cancer Center - Service Of Vail Health Hospital. The authorized official of this NPI record is Michael G Brown (Svp & Cfo)

NPI
1144876251
Provider Legal Name
VAIL CLINIC INC
Other Organization Name
SHAW CANCER CENTER - SERVICE OF VAIL HEALTH HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
322 BEARD CREEK RD EDWARDS, CO 81632
Location Phone
(970) 569-7429
Mailing Address
PO BOX 840220 KANSAS CITY, MO 64184
Mailing Phone
(970) 777-2850
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-14-2019
Last Update Date
01-09-2025
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Shaw Cancer Center - Service Of Vail Health Hospital is a medicare supplier with PTAN 20679527 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2261QI0500XAmbulatory Health Care Facilities

Clinic/Center
Infusion Therapy

 
3261QX0200XAmbulatory Health Care Facilities

Clinic/Center
Oncology

 
4261QX0203XAmbulatory Health Care Facilities

Clinic/Center
Oncology, Radiation

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL G BROWN

Authorized Official Title
SVP & CFO
Authorized Official Phone
(970) 479-7272

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20679527
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D0985894
Facility Type
Community Clinic
Certificate Effective Date
July 25, 2023
Certificate Expiration Date
July 24, 2025
Laboratory Director
DR. GEORGE F. HOLMES
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Shaw Cancer Center - Service Of Vail Health Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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.
1144876251
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218416712210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 6 + 7 + 1 + 2 + 2 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1144876251 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

KERRIE KUHL CNM

Midwife

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 569-7750

PATRICK KEOGH

Emergency Medicine

322 BEARD CREEK RD
SUITE 200
EDWARDS, CO
ZIP 81632

(970) 926-6340

VVMC DIVERSIFIED SERVICES

Clinic/Center

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 476-2451

STEADMAN CLINIC PROFESSIONAL LLC

Specialist

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 476-1100

MS. ANNEGRET A KESSLER

Dietitian, Registered

(Nutrition, Metabolic)

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 569-7482

KATIE JONES FNP

Nurse Practitioner

(Family)

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 476-2451

REBECCA ADOCHIO MD

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 926-6340

ALEXANDER URQUHART MD

Internal Medicine

(Medical Oncology)

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 476-2451

COLLEEN DEIRDRE IHNKEN N.P.

Nurse Practitioner

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 949-6100

CATHERINE P MAST RN NP

Nurse Practitioner

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 569-7600

MRS. PEYTON BREE NUNLEY MS, CGC

Genetic Counselor, MS

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(512) 971-1265

JORDAN VOLK ACNPC-AG

Nurse Practitioner

(Adult Health)

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 569-7429

OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.

Obstetrics & Gynecology

(Maternal & Fetal Medicine)

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 904-6164

SHELLY SCHWARTZ APRN

Nurse Practitioner

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 569-7429

VAIL CLINIC INC

General Acute Care Hospital

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 569-7429

VAIL CLINIC, INC.

Pharmacy

(Clinic Pharmacy)

322 BEARD CREEK RD
EDWARDS, CO
ZIP 81632

(970) 569-7676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144876251, enumerated as an "organization" on August 14, 2019.

The provider is located at 322 BEARD CREEK RD EDWARDS, CO 81632 and the phone number is (970) 569-7429.

General Acute Care Hospital with taxonomy code 282N00000X.