Steamboat ER LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

STEAMBOAT ER LLC

Practice address

1600 Mid Valley Dr
Steamboat Springs, CO 80487-9006

Phone

(970) 846-6230

NPI assigned

Aug 8, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenny Nettles, MSN, RN

Title

Clinical Director

Phone

(970) 846-6230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Steamboat ER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1124543442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MID VALLEY DR",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804879006",
            "telephone_number": "970-846-6230",
            "fax_number": "970-971-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MID VALLEY DR",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804879006",
            "telephone_number": "970-846-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEAMBOAT ER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "NETTLES",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "970-846-6230",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CLINIC AND EMERGENCY CENTER",
            "identifier": "18T693",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steamboat ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Care Clinic/Center in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• Emergency Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.