MEDICARE: NORTHWEST COLORADO VISITING NURSE ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	251E0000X

General Provider Information

NPI Number	:	1437256674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST COLORADO VISITING NURSE ASSOCIATION

Provider Business Mailing Address
First Line	:	940 CENTRAL PARK DRIVE
Second Line	:	SUITE 101
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8853
Country	:	US
Telephone Number	:	970-879-1632
Fax Number	:	970-870-1326

Provider Business Practice Location Address
First Line	:	1475 PINE GROVE RD STE 202
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8851
Country	:	US
Telephone Number	:	970-879-6774
Fax Number	:	970-826-4164

Authorized Official
Title or Position	:	CFO
Name	:	MATT MORRILL
Credential	:
Telephone Number	:	970-871-7635

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	11/30/2023

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