Northstar Urology

LBN: Vvmc Diversified Services
Northstar Urology is an health care organization with primary practice located at 320 Beard Creek Road , Edwards CO 81632. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Vvmc Diversified Services can be contacted via phone (970) 569-7725, or through Crevling, Charles W via phone (970) 479-7238.

Contact Information

Primary practice address
320 Beard Creek Road Edwards CO 81632
Phone: (970) 569-7725
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crevling, Charles W
Phone: (970) 479-7238

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0786 Colorado

Profile Details

NPI number 1730279712
LBN Legal business name Vvmc Diversified Services
DBA Doing business as Northstar Urology
Authorized official Crevling, Charles W
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 13th, 2006
Last updated Apr 27th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730279712 NPPES
Colorado MEDICAID 01926721

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