| Vvmc Diversified Services | |
|
320 Beard Creek Road Edwards CO 81632 | |
| (970) 569-7520 | |
| (970) 569-7522 |
| Full Name | Vvmc Diversified Services |
|---|---|
| Speciality | Clinic/center |
| Location | 320 Beard Creek Road, Edwards, Colorado |
| Authorized Official Name and Position | Charles W Crevling (CHIEF STRATEGIC OFFICER) |
| Authorized Official Contact | 9704797238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vvmc Diversified Services Po Box 848997 Boston MA 02284-8997 Ph: (970) 777-2834 | Vvmc Diversified Services 320 Beard Creek Road Edwards CO 81632 Ph: (970) 569-7520 |
| NPI Number | 1326222027 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326222027 | NPI | - | NPPES |
| 04010757 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0272 (Colorado) | Primary |
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