Healthcare Provider Details

I. General information

NPI: 1235777889
Provider Name (Legal Business Name): ASPEN VALLEY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 CODY LANE CARDIAC REHAB BASALT
BASALT CO
81621
US

IV. Provider business mailing address

401 CASTLE CREEK ROAD COMPLIANCE OFFICE
ASPEN CO
81611-1159
US

V. Phone/Fax

Practice location:
  • Phone: 709-544-1383
  • Fax:
Mailing address:
  • Phone: 970-544-1551
  • Fax: 970-544-7698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: STEVEN KNOWLES
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 970-544-1551