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General NPI Number Information
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NPI Number | 1992964670
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Entity Type | Organization
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Legal Business Name | UCHEALTH ESTES VALLEY MEDICAL CENTER
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 555 PROSPECT AVE
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City | ESTES PARK
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State | CO
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Zip | 80517-6312
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Country | US
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Telephone | 907-586-2317
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Fax |
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | JANA CONROY
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Credential |
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Telephone | 970-624-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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