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Contact Information

ASPEN VALLEY PEDIATRICS, PC
630 E HYMAN AVENUE
SUITE 25
ASPEN, CO81611
 Phone: 970-544-1300
 Fax: 970-544-1334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ASPEN VALLEY PEDIATRICS, PC

NPI # 1346451473
LBN Legal business name ASPEN VALLEY PEDIATRICS, PC
Authorized official HARVEY FAHY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2007
Last updated 03/03/2015 - About 11 years ago
Identifiers
CO License # 19921112619
CO Medicaid 53579054
CO Medicaid 82027277
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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