Healthcare Provider Details

I. General information

NPI: 1851974109
Provider Name (Legal Business Name): VALLEY VIEW HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 05/04/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 BLAKE AVE
GLENWOOD SPRINGS CO
81601-4227
US

IV. Provider business mailing address

1906 BLAKE AVE
GLENWOOD SPRINGS CO
81601-4227
US

V. Phone/Fax

Practice location:
  • Phone: 970-384-7510
  • Fax: 970-384-7511
Mailing address:
  • Phone: 970-384-7510
  • Fax: 970-384-7511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

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