| Organization Name: | INSTITUTE FOR ALTITUDE MEDICINE |
| NPI Number: | 1497939714 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GORDON REICHARD (ADMINISTRATOR) |
| Mailing Address: | 500 W Pacific Ave Telluride |
| State: | CO US |
| Postal Code: | 814351229 |
| Phone Number: | 9707283848 |
| Fax Number: | 9707283404 |
| NPI Enumeration Date: | 12/21/2007 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |