Healthcare Provider Details

I. General information

NPI: 1871789768
Provider Name (Legal Business Name): VALLEY VIEW HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
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: 970-384-6770
  • Fax: 970-384-6765
Mailing address:
  • Phone: 970-384-6770
  • Fax: 970-384-6765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number38595
License Number StateCO

VIII. Authorized Official

Name: CHARLES CREVLING
Title or Position: CFO
Credential:
Phone: 970-384-6605