MEDICARE: AVA HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	276400000X	Substance Use Disorder Rehabilitation Hospital Unit

General Provider Information

NPI Number	:	1467301903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVA HEALTH, LLC

Provider Business Mailing Address
First Line	:	2784 CROSSROADS BLVD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-8711
Country	:	US
Telephone Number	:	609-703-5006
Fax Number	:

Provider Business Practice Location Address
First Line	:	SANFORD FLATS
Second Line	:	1260 BOOKCLIFF AVE
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501
Country	:	US
Telephone Number	:	970-822-0270
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	IAN GERSHMAN
Credential	:	MVBA, MA, EOLPD
Telephone Number	:	609-703-5006

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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