Provider Demographics
NPI:1871192898
Name:YAMPA VALLEY MEDICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:YAMPA VALLEY MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR, CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:MOSELEY
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:970-875-1673
Mailing Address - Street 1:940 CENTRAL PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8853
Mailing Address - Country:US
Mailing Address - Phone:970-879-3327
Mailing Address - Fax:970-870-3499
Practice Address - Street 1:150 WEST JACKSON AVENUE
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:CO
Practice Address - Zip Code:81639
Practice Address - Country:US
Practice Address - Phone:970-276-4270
Practice Address - Fax:970-276-4534
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YAMPA VALLEY MEDICAL ASSOCIATES, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty