Healthcare Provider Details

I. General information

NPI: 1699261339
Provider Name (Legal Business Name): VALLEY VIEW HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 09/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N HORSESHOE TRL
SILT CO
81652
US

IV. Provider business mailing address

1906 BLAKE AVE
GLENWOOD SPRINGS CO
81601-4259
US

V. Phone/Fax

Practice location:
  • Phone: 970-876-5700
  • Fax: 970-876-0482
Mailing address:
  • Phone: 970-384-7033
  • Fax: 970-384-8174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAH MOORE
Title or Position: CBO/PFS DIRECTOR
Credential:
Phone: 970-384-6874