Healthcare Provider Details
I. General information
NPI: 1063220994
Provider Name (Legal Business Name): VALLEY VIEW HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/23/2024
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 AIRPORT RD
RIFLE CO
81650-8510
US
IV. Provider business mailing address
1906 BLAKE AVE
GLENWOOD SPRINGS CO
81601-4227
US
V. Phone/Fax
- Phone: 970-945-2238
- Fax: 970-928-8926
- Phone: 970-384-6874
- Fax: 970-945-5460
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
MOORE
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 970-384-6874