MEDICARE: VALLEY VIEW HOSPITAL ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1164726725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY VIEW HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	1830 BLAKE AVE
Second Line	:	SUITE 208
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-4275
Country	:	US
Telephone Number	:	970-945-2238
Fax Number	:	970-928-8926

Provider Business Practice Location Address
First Line	:	1830 BLAKE AVE
Second Line	:	SUITE 208
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-4275
Country	:	US
Telephone Number	:	970-945-2238
Fax Number	:	970-928-8926

Authorized Official
Title or Position	:	CFO
Name	:	BONITA L WASLI
Credential	:
Telephone Number	:	970-384-6605

Provider Enumeration Date	:	12/22/2010
Last Update Date	:	02/03/2017

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Directions to “VALLEY VIEW HOSPITAL ASSOCIATION ” Practice Location

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