| NPI | 1932109048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VANDERVEER CFO 970-641-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access (Licence: CO 010909) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-04-29 |