Organization
HIGH COUNTRY HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN COLDAGELLI (ADMINISTRATIVE ASSISTANT)
(970) 668-1791
Entity
Organization
Contact information
Practice address
265 TANGLEWOOD LANE, STE. W-3, SILVERTHORNE, CO 80498
(970) 668-1791
(970) 668-1792
Mailing address
PO BOX 911416, DENVER, CO 80291-1416
(866) 352-7366
(970) 668-6546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017646
—
CO
01
—
240227500
WC US DEPT OF LABOR
—
01
—
HIB5808
BCBS CO BLUE CARD CLAIMS
CO
01
—
M22040
WC RISKO INSURANCE
CO
Enumeration date
06/05/2007
Last updated
03/06/2013
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