Healthcare Provider Details

I. General information

NPI: 1669397238
Provider Name (Legal Business Name): NORTHWEST COLORADO VISTING NURSE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 7TH ST # 122
STEAMBOAT SPRINGS CO
80487-5123
US

IV. Provider business mailing address

940 CENTRAL PARK DR STE 101
STEAMBOAT SPRINGS CO
80487-8853
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-1632
  • Fax:
Mailing address:
  • Phone: 970-879-1632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MATT MORRILL
Title or Position: CFO
Credential:
Phone: 970-879-1632