Healthcare Provider Details
I. General information
NPI: 1134213614
Provider Name (Legal Business Name): VALLEY VIEW HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 10/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 EAST AVENUE
RIFLE CO
81650
US
IV. Provider business mailing address
220 EAST AVENUE
RIFLE CO
81650
US
V. Phone/Fax
- Phone: 970-625-5521
- Fax:
- Phone: 970-625-5521
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GEORGE
THOMAS
MORTON
Title or Position: OWNER
Credential: MD
Phone: 970-625-5521