# AVISTA ADVENTIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740400290
- **Authorized official:** MS. DEBRA SANDER SMITH NNP, MHA (NEONATAL NURSE PRACTITIONER)
- **Authorized official phone:** (303) 673-1102

## Contact information

- **Practice address:** 100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
- **Practice address phone:** (303) 673-1100
- **Mailing address:** 2855 ROCK CREEK CIR UNIT 254, SUPERIOR, CO 80027-4621
- **Mailing address phone:** (303) 494-4354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 90831 | CO | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020