Healthcare Provider Details

I. General information

NPI: 1295394203
Provider Name (Legal Business Name): YAMPA VALLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 S SHELTON LN
HAYDEN CO
81639-9634
US

IV. Provider business mailing address

7901 E LOWRY BLVD F402, 3RD FLOOR
DENVER CO
80230-6510
US

V. Phone/Fax

Practice location:
  • Phone: 970-875-2674
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DAVID THOMPSON
Title or Position: CFO
Credential:
Phone: 970-879-1322