Healthcare Provider Details

I. General information

NPI: 1275804890
Provider Name (Legal Business Name): VALLEY VIEW HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

978 EUCLID AVENUE
CARBONDALE CO
81623-1839
US

IV. Provider business mailing address

978 EUCLID AVENUE
CARBONDALE CO
81623-1839
US

V. Phone/Fax

Practice location:
  • Phone: 970-963-3350
  • Fax:
Mailing address:
  • Phone: 970-963-3350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHARLES CREVLING
Title or Position: CFO
Credential:
Phone: 970-384-6606