Healthcare Provider Details

I. General information

NPI: 1902441710
Provider Name (Legal Business Name): VALLEY VIEW HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2019
Last Update Date: 03/26/2023
Certification Date: 03/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 SYLVAN LAKE RD STE 140
EAGLE CO
81631-6779
US

IV. Provider business mailing address

PO BOX 2270
GLENWOOD SPRINGS CO
81602-2270
US

V. Phone/Fax

Practice location:
  • Phone: 970-384-7144
  • Fax: 970-384-8115
Mailing address:
  • Phone: 970-384-7144
  • Fax: 970-384-8115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAH MOORE
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 970-384-6874