Provider Demographics
NPI:1881050078
Name:NORTHWEST COLORADO VISITING NURSE ASSOCIATION
Entity type:Organization
Organization Name:NORTHWEST COLORADO VISITING NURSE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDVIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-879-1632
Mailing Address - Street 1:940 CENTRAL PARK DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8813
Mailing Address - Country:US
Mailing Address - Phone:970-879-1632
Mailing Address - Fax:970-879-1326
Practice Address - Street 1:940 CENTRAL PARK DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8813
Practice Address - Country:US
Practice Address - Phone:970-879-1632
Practice Address - Fax:970-879-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental