Healthcare Provider Details

I. General information

NPI: 1841745809
Provider Name (Legal Business Name): YAMPA VALLEY URGENT CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 04/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 PINE GROVE RD SUITE 102
STEAMBOAT SPRINGS CO
80487-8803
US

IV. Provider business mailing address

1475 PINE GROVE RD SUITE 102
STEAMBOAT SPRINGS CO
80487-8803
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-0203
  • Fax: 970-879-1389
Mailing address:
  • Phone: 970-879-0203
  • Fax: 970-879-1389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA A SMITH
Title or Position: ADMINISTRATOR
Credential:
Phone: 970-879-4993