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VAIL HEALTH CLINICS FORT COLLINS
NPI 1942953997
Internal Medicine - Cardiovascular Disease in Fort Collins, CO

Active since January 31, 2022
4700 LADY MOON DR, FORT COLLINS, CO 80528(970) 476-1110 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Oct 6, 2023, Jan 31, 2022 (3 updates tracked since 2022).

About Vail Health Clinics Fort Collins NPPES

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

VAIL HEALTH CLINICS FORT COLLINS (NPI 1942953997) is a healthcare organization registered as a cardiovascular disease in Fort Collins, Colorado and active in the NPI registry since January 2022. The organization lists Michael G Brown, Svp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1942953997
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameVVMC DIVERSIFIED SERVICES
Location Address4700 LADY MOON DRFort Collins, CO 80528-4426
Mailing AddressPo Box 841152Kansas City, MO 64184-1150 · (970) 777-2850
Phone(970) 476-1110
Organization SubpartYes
Authorized OfficialMichael G BrownSvp & Cfo · (970) 479-7272
Enumeration DateJanuary 31, 2022
Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1942953997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4700 LADY MOON DR, Fort Collins, CO 80528
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Other Names 1

Doing Business AsVail Health Clinics Fort Collins

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

Other Providers at the Same Location NPPES 20

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

BANNER HEALTH PHYSICIANS COLORADO LLC
Clinic/Center (Multi-Specialty)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4000
DR. KYMBERLEE ROYALS M.D.
Anesthesiology
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 420-0905
BANNER HEALTH
Ambulance
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4000
DR. NICOLE BLYTHE MOORE RIEGER M.D.
Surgery
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4000
BANNER ANESTHESIOLOGISTS COLORADO LLC
Clinic/Center (Multi-Specialty)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 350-6399
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Clinic/Center (Multi-Specialty)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 229-4500
DAVID JAMES LEVESQUE CRNA
Nurse Anesthetist, Certified Registered
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4500
KRISTINA KINNEY CPNP
Nurse Practitioner (Pediatrics)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4000

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 1942953997. It was assigned to this organization in the NPPES registry on January 31, 2022. The provider is doing business as Vail Health Clinics Fort Collins.

Where is Vvmc Diversified Services located?

Vvmc Diversified Services is located at 4700 Lady Moon Dr, Fort Collins, CO 80528. The listed phone number is (970) 476-1110.

What is Vvmc Diversified Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Vvmc Diversified Services was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.