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MOUNTAIN REVIVAL VAIL, LLC
NPI 1154129815
Preventive Medicine - Public Health & General Preventive Medicine in Vail, CO

Active since March 06, 2025
2211 N FRONTAGE RD W, VAIL, CO 81657(978) 621-4027 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mountain Revival Vail, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN REVIVAL VAIL, LLC (NPI 1154129815) is a healthcare organization registered as a public health & general preventive medicine in Vail, Colorado and active in the NPI registry since March 2025. The organization lists Pamela Shifrin, Owner, as its authorized official.

NPPES Registry Identity

NPI1154129815
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameMOUNTAIN REVIVAL VAIL, LLC
Location Address2211 N FRONTAGE RD WVail, CO 81657-3937
Mailing Address2211 N Frontage Rd WVail, CO 81657-3937 · (978) 621-4027
Phone(978) 621-4027
Organization SubpartNo
Authorized OfficialPamela ShifrinOwner · (978) 621-4027
Enumeration DateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1154129815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

2211 N FRONTAGE RD W, Vail, CO 81657
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Revival Vail, LLC's NPI number?

The NPI number for Mountain Revival Vail, LLC is 1154129815. It was assigned to this organization in the NPPES registry on March 6, 2025.

Where is Mountain Revival Vail, LLC located?

Mountain Revival Vail, LLC is located at 2211 N Frontage Rd W, Vail, CO 81657. The listed phone number is (978) 621-4027.

What is Mountain Revival Vail, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Mountain Revival Vail, LLC was last updated on March 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.