Organization
CRESTED BUTTE MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI KAECH (MANAGER)
(970) 349-0321
Entity
Organization
Contact information
Practice address
12 SNOWMASS RD, SUITE 1, MT. CRESTED BUTTE, CO 81225
(970) 349-0321
Mailing address
PO BOX 1850, CRESTED BUTTE, CO 81224-1850
(970) 349-0321
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
30833
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01308337
—
CO
Enumeration date
04/16/2008
Last updated
09/15/2011
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