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LEADVILLE MEDICAL CLINIC, PC
NPI 1710049648
Specialist in Leadville, CO

Active since December 15, 2006
825 W 6TH ST, LEADVILLE, CO 80461(719) 486-1264(719) 486-1286 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leadville Medical Clinic, Pc NPPES

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

LEADVILLE MEDICAL CLINIC, PC (NPI 1710049648) is a healthcare organization registered as a specialist in Leadville, Colorado and active in the NPI registry since December 2006. The organization lists Karl Bridge, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1710049648
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLEADVILLE MEDICAL CLINIC, PC
Location Address825 W 6TH STLeadville, CO 80461-2205
Mailing Address825 W 6th StLeadville, CO 80461-2205 · (719) 486-1264 · Fax (719) 486-1286
Phone(719) 486-1264
Fax(719) 486-1286
Organization SubpartNo
Authorized OfficialKarl BridgeBusiness Administrator · (719) 486-1264
Enumeration DateDecember 15, 2006
Last NPPES UpdateJune 1, 2011
✔ NPI 1710049648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
825 W 6TH ST, Leadville, CO 80461
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Other Identifiers 1

Medicare PIN804488CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARYN BARRETTE PA-C
Physician Assistant
825 W 6TH ST
LEADVILLE, CO 80461
Lake County (719) 486-1264
DR. WAYNE LEON CALLEN MD
Specialist
825 W 6TH ST
LEADVILLE, CO 80461
Lake County (719) 486-1264
ELAINA MARIE BRIDGE RN
Registered Nurse
825 W 6TH ST
LEADVILLE, CO 80461
Lake County (719) 486-2413

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 Leadville Medical Clinic, PC's NPI number?

The NPI number for Leadville Medical Clinic, PC is 1710049648. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Leadville Medical Clinic, PC located?

Leadville Medical Clinic, PC is located at 825 W 6th St, Leadville, CO 80461. The listed phone number is (719) 486-1264.

What is Leadville Medical Clinic, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Leadville Medical Clinic, PC was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.