1437256674 NPI number — NORTHWEST COLORADO VISITING NURSE ASSOCIATION

Table of content: (NPI 1437256674)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437256674 NPI number — NORTHWEST COLORADO VISITING NURSE ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHWEST COLORADO VISITING NURSE ASSOCIATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTHWEST COLORADO HEALTH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437256674
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
940 CENTRAL PARK DRIVE
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
STEAMBOAT SPRINGS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80487-8853
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-879-1632
Provider Business Mailing Address Fax Number:
970-870-1326

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1475 PINE GROVE RD STE 202
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEAMBOAT SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80487-8851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-879-6774
Provider Business Practice Location Address Fax Number:
970-826-4164
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MORRILL
Authorized Official First Name:
MATT
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
970-871-7635

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  251E0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com