Provider Demographics
NPI:1558178483
Name:VAIL VALLEY EMERGENCY PHYSICIANS PC
Entity type:Organization
Organization Name:VAIL VALLEY EMERGENCY PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MCCORVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-569-3600
Mailing Address - Street 1:27 MAIN ST UNIT C301
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632-8109
Mailing Address - Country:US
Mailing Address - Phone:970-569-3600
Mailing Address - Fax:970-569-3601
Practice Address - Street 1:1280 VILLAGE RD
Practice Address - Street 2:
Practice Address - City:BEAVER CREEK
Practice Address - State:CO
Practice Address - Zip Code:81620-5374
Practice Address - Country:US
Practice Address - Phone:970-949-0800
Practice Address - Fax:970-470-6683
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VAIL VALLEY EMERGENCY PHYSICIANS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty