NORTHSTAR UROLOGY
NPI 1730279712
Specialist in Edwards, CO

Q: What is Vvmc Diversified Services's NPI number?

The NPI number for Vvmc Diversified Services is 1730279712. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Northstar Urology.

Q: What is Vvmc Diversified Services's specialty?

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

Active since October 13, 2006

320 BEARD CREEK ROAD, EDWARDS, CO 81632(970) 569-7725 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Northstar Urology NPPES

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

NORTHSTAR UROLOGY (NPI 1730279712) is a healthcare organization registered as a specialist in Edwards, Colorado and active in the NPI registry since October 2006. The organization lists Charles W Crevling, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730279712

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameVVMC DIVERSIFIED SERVICES

Location Address320 BEARD CREEK ROADEdwards, CO 81632

Mailing AddressPo Box 848997Boston, MA 02284-8997 · (970) 777-2834 · Fax (970) 777-2929

Phone(970) 569-7725

Organization SubpartYesParent: Vail Clinic Inc.

Authorized OfficialCharles W CrevlingCfo · (970) 479-7238

Enumeration DateOctober 13, 2006

Last NPPES UpdateApril 27, 2009

✔ NPI 1730279712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CO · 0786

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.

320 BEARD CREEK ROAD, Edwards, CO 81632

Open in Google Maps ↗

Other Names 1

Doing Business AsNorthstar Urology

Other Identifiers 2

Medicare PINCOB4120CO

Medicaid01926721CO

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 9

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

VAIL CLINIC, INC

Home Health

320 BEARD CREEK ROAD
EDWARDS, CO 81632

Eagle County (970) 569-7455

VVMC DIVERSIFIED SERVICES

Clinic/Center

320 BEARD CREEK ROAD
EDWARDS, CO 81632

Eagle County (970) 569-7520

MR. JEFFREY J ROCKWELL MD

Anesthesiology

320 BEARD CREEK ROAD, SUITE 100
EDWARDS, CO 81632

Eagle County (970) 569-7400

MRS. ANNA J PRADKA CRNA

Nurse Anesthetist, Certified Registered

320 BEARD CREEK ROAD, SUITE 100
EDWARDS, CO 81632

Eagle County (970) 569-7400

DIANE PURSE N.P.

Nurse Practitioner (Pediatrics)

320 BEARD CREEK ROAD
EDWARDS, CO 81632

Eagle County (970) 945-2840

VAIL VALLEY SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

320 BEARD CREEK ROAD, SUITE 100
EDWARDS, CO 81632

Eagle County (970) 476-8872

MRS. LESLIE E DO PICO CRNA

Nurse Anesthetist, Certified Registered

320 BEARD CREEK ROAD, SUITE 100
EDWARDS, CO 81632

Eagle County (970) 569-7400

VAIL CLINIC, INC.

Hospice Care, Community Based

320 BEARD CREEK ROAD
EDWARDS, CO 81632

Eagle County (970) 569-7455

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 Vvmc Diversified Services's NPI number?

The NPI number for Vvmc Diversified Services is 1730279712. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Northstar Urology.

Where is Vvmc Diversified Services located?

Vvmc Diversified Services is located at 320 Beard Creek Road, Edwards, CO 81632. The listed phone number is (970) 569-7725.

What is Vvmc Diversified Services'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 Vvmc Diversified Services was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.