Provider Demographics
NPI:1114565736
Name:ASPEN VALLEY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:ASPEN VALLEY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-544-1551
Mailing Address - Street 1:401 CASTLE CREEK ROAD
Mailing Address - Street 2:COMPLIANCE OFFICE
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-1159
Mailing Address - Country:US
Mailing Address - Phone:970-544-1551
Mailing Address - Fax:970-544-7698
Practice Address - Street 1:239 SNOWMASS CLUB CIRCLE
Practice Address - Street 2:PT SNOWMASS CLUB
Practice Address - City:SNOWMASS VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:81615
Practice Address - Country:US
Practice Address - Phone:970-544-1177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access