COLORADO MOUNTAIN MEDICAL, LLC — NPI 1730747445 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in AVON, CO)

CMS-1500 Box 24J / 33a • NPI

1730747445

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM1300X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

50 BUCK CREEK RD STE 200, AVON, CO, 81620-5444

✓ 9-Digit EDI 837 ZIP+4 (81620-5444)

Practice Phone & Referral Fax

(970) 926-6340

Fax: (970) 926-6348

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1730747445 (COLORADO MOUNTAIN MEDICAL, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1730747445` (NPI-2 Organization / Facility)
Provider / Legal Name	COLORADO MOUNTAIN MEDICAL, LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM1300X` (Clinic/Center, Multi-Specialty)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	50 BUCK CREEK RD STE 200, AVON, CO, 81620-5444
Practice Telephone / Fax	Tel: (970) 926-6340 \| Fax: (970) 926-6348
Administrative Mailing Address	PO BOX 4330, AVON, CO, 81620-4330
Enumeration & Last Sync	Enumerated: 2019-05-29 \| CMS Record Updated: 2026-07-02
Authorized Official	DIANE VOYTKO (Physician)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

50 BUCK CREEK RD STE 200, AVON, CO, 81620-5444

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Plain-English Taxonomy & CMS Crosswalk (261QM1300X)

What Does Taxonomy Code 261QM1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COLORADO MOUNTAIN MEDICAL, LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207N00000X` — Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`208800000X` — Urology Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207Y00000X` — Otolaryngology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology	State: N/A \| License: `Verified` \| Primary: Secondary
`207RN0300X` — Internal Medicine, Nephrology Plain English: Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RG0100X` — Internal Medicine, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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COLORADO MOUNTAIN MEDICAL, LLC (NPI #1730747445)