BREAST CARE CLINIC
NPI 1225299316
Specialist in Vail, CO

Active since June 20, 2008
180 S FRONTAGE ROAD WEST, SUITE 306, VAIL, CO 81657(970) 569-7656(970) 470-6689 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 9, 2025, Oct 6, 2023, Sep 22, 2020 and 3 more (6 updates tracked since 2017).

  • Organization
  • Specialist

About BREAST CARE CLINIC

This page provides the complete NPI Profile along with additional information for Breast Care Clinic, a provider established in Vail, Colorado operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1225299316 assigned on June 2008. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Breast Care Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Breast Care Clinic. The authorized official of this NPI record is Michael G Brown (Svp & Cfo)

NPI
1225299316 Verify this NPI
Provider Legal Name
VVMC DIVERSIFIED SERVICES
Other Organization Name
BREAST CARE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
180 S FRONTAGE ROAD WEST SUITE 306 VAIL, CO 81657
Location Phone
(970) 569-7656
Location Fax
(970) 470-6689
Mailing Address
PO BOX 841152 KANSAS CITY, MO 64184
Mailing Phone
(970) 777-2850
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2008
Last Update Date
01-09-2025
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Location Map

Secondary Locations

  • 322 Beard Creek Road
    Edwards, CO 81632
    (970) 569-7656

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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225299316, enumerated as an "organization" on June 20, 2008.

The provider is located at 180 S FRONTAGE ROAD WEST SUITE 306 VAIL, CO 81657 and the phone number is (970) 569-7656.

Specialist with taxonomy code 174400000X.