Healthcare Provider Details
I. General information
NPI: 1649031162
Provider Name (Legal Business Name): WEST SLOPE MEDICAL SERVICES LLC-S
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/22/2024
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2731 COMMERCIAL WAY UNIT AB
MONTROSE CO
81401-5700
US
IV. Provider business mailing address
2731 COMMERCIAL WAY UNIT AB
MONTROSE CO
81401-5700
US
V. Phone/Fax
- Phone: 970-398-4720
- Fax: 970-650-8165
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JACKLYN
SPRY
HARDIN
Title or Position: NURSE PRACTITIONER/OWNER
Credential: FNPC
Phone: 970-596-6486