Healthcare Provider Details

I. General information

NPI: 1710942495
Provider Name (Legal Business Name): ASPEN VALLEY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 WOOD ROAD SUITE N200
SNOWMASS VILLAGE CO
81615-1111
US

IV. Provider business mailing address

401 CASTLE CREEK RD
ASPEN CO
81611-1159
US

V. Phone/Fax

Practice location:
  • Phone: 970-544-1518
  • Fax: 970-544-1519
Mailing address:
  • Phone: 970-544-7684
  • Fax: 970-544-1585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

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