Healthcare Provider Details

I. General information

NPI: 1568238004
Provider Name (Legal Business Name): EAGLE COUNTY HEALTH SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 EDWARDS VILLAGE BLVD
EDWARDS CO
81632-0990
US

IV. Provider business mailing address

PO BOX 990
EDWARDS CO
81632-0990
US

V. Phone/Fax

Practice location:
  • Phone: 970-926-5270
  • Fax: 970-926-5235
Mailing address:
  • Phone: 970-926-5270
  • Fax: 970-926-5235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: VERONICA LYNN ROSS
Title or Position: FINANCE MANAGER
Credential:
Phone: 970-926-5270