MEDICARE: VAIL CLINIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QX0200X	Oncology Clinic/Center
2	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1730736349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAIL CLINIC INC

Provider Business Mailing Address
First Line	:	PO BOX 840220
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-0220
Country	:	US
Telephone Number	:	970-777-2850
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 PINE GROVE RD
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-2118
Country	:	US
Telephone Number	:	970-569-7429
Fax Number	:

Authorized Official
Title or Position	:	SVP & CFO
Name	:	MICHAEL G BROWN
Credential	:
Telephone Number	:	970-479-7272

Provider Enumeration Date	:	08/20/2019
Last Update Date	:	01/09/2025

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Directions to “VAIL CLINIC INC ” Practice Location

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