Provider Demographics
NPI:1861814097
Name:YAMPA VALLEY MEDICAL CENTER
Entity Type:Organization
Organization Name:YAMPA VALLEY MEDICAL CENTER
Other - Org Name:UCHEALTH PHARMACY - YAMPA VALLEY MEDICAL CENTER
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:970-875-2771
Mailing Address - Street 1:7901 E LOWRY BLVD
Mailing Address - Street 2:F402, 3RD FLOOR
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1024 CENTRAL PARK DR
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8813
Practice Address - Country:US
Practice Address - Phone:970-875-2771
Practice Address - Fax:970-871-2315
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YAMPA VALLEY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1140000003333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0623187OtherNCPDP
0623187OtherNCPDP
0623187OtherNCPDP