Alpine Medical Group of the Roaring Fork Valley

Organization Active NPI Primary Care Clinic/Center · Basalt, CO

NPI 1356494249 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1356494249
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
ALPINE MEDICAL GROUP OF THE ROARING FORK VALLEY
Practice address
1450 E Valley Rd
Suite 101
Basalt, CO 81621-8304
Phone
(970) 927-6101
Fax
(970) 927-6888
NPI assigned
Jan 22, 2007
Organization subpart
No

Authorized official

Name
Ms. Stephanie Childree
Title
Practice Manager
Phone
(970) 927-6101

National Provider Directory

Locations

1450 E Valley Rd
Unit 101
Basalt, CO 81621
Phone (970) 279-4111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CO Yes

Addresses

Primary practice location

1450 E Valley Rd
Suite 101
Basalt, CO 81621-8304

Mailing address

1450 E Valley Rd
Suite 101
Basalt, CO 81621-8304
Phone (970) 927-6101

Other identifiers

IdentifierTypeStateIssuer
52427277MedicaidCO

Other providers in Basalt, CO

All providers in Basalt, CO · Primary Care Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.