Provider Demographics
NPI:1629689658
Name:YAMPA VALLEY MEDICAL CENTER
Entity Type:Organization
Organization Name:YAMPA VALLEY MEDICAL CENTER
Other - Org Name:WILDHORSE SPORTSMED
Other - Org Type:Other Name
Authorized Official - Title/Position:UCHEALTH CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:RIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-871-2370
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:705 MARKETPLACE PLZ STE 250
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-1800
Practice Address - Country:US
Practice Address - Phone:970-871-2370
Practice Address - Fax:970-871-2378
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YAMPA VALLEY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center