Healthcare Provider Details

I. General information

NPI: 1396986261
Provider Name (Legal Business Name): ASPEN VALLEY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2009
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 CODY LN
BASALT CO
81621-9106
US

IV. Provider business mailing address

234 CODY LN
BASALT CO
81621-9106
US

V. Phone/Fax

Practice location:
  • Phone: 970-544-1250
  • Fax: 970-544-1585
Mailing address:
  • Phone: 970-544-1250
  • Fax: 970-544-1585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ELAINE M GERSON
Title or Position: GENERAL COUNSEL
Credential: JD
Phone: 970-544-7684