Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vince J Stack, MD

Individual provider Family Medicine Physician · NPI 1497706071

Dr. Vince J Stack, MD is a Family Practice in Salida, Colorado. Graduated from University of Utah School of Medicine in 1993, 33 years ago. Practices with Life Care Physician Services LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
33
Trained at
University of Utah School of Medicine
Licensed in
CO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 W 16th St
Salida, CO 81201-2240
Phone: (719) 539-6112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 46814 (CO)

Record details

NPI number1497706071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023
Mailing addressPo Box 2153 Dept 40339, Birmingham, AL 35287-9387

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Life Care Physician Services Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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