=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295277812
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALLEY VIEW HOSPITAL ASSOCIATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/14/2016
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1906 BLAKE AVE
-----------------------------------------------------
City | GLENWOOD SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81601-4227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-945-2202
-----------------------------------------------------
Fax | 970-384-7530
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1906 BLAKE AVE
-----------------------------------------------------
City | GLENWOOD SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-945-2202
-----------------------------------------------------
Fax | 970-384-7530
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VALLEY VIEW HOSPITAL DIRECTOR OF PH
-----------------------------------------------------
Name | MARK RUSSO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 970-384-7722
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 0500000005
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------