Provider Demographics
NPI:1841745809
Name:YAMPA VALLEY URGENT CARE, P.C.
Entity Type:Organization
Organization Name:YAMPA VALLEY URGENT CARE, P.C.
Other - Org Name:STEAMBOAT URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-879-4993
Mailing Address - Street 1:1475 PINE GROVE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8803
Mailing Address - Country:US
Mailing Address - Phone:970-879-0203
Mailing Address - Fax:970-879-1389
Practice Address - Street 1:1475 PINE GROVE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8803
Practice Address - Country:US
Practice Address - Phone:970-879-0203
Practice Address - Fax:970-879-1389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-19
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO39135101Medicaid
CO545538Medicare PIN