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NPI 1619118064

NPI 1619118064 : VALLEY VIEW HOSPITAL ASSOCIATION : GLENWOOD SPGS, CO

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General NPI Number Information
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    NPI Number           |    1619118064
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    Entity Type          |    Organization 
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    Legal Business Name  |    VALLEY VIEW HOSPITAL ASSOCIATION 
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Dates
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    Enumeration Date     |    03/16/2009
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    Last Update Date     |    12/12/2022
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Provider Practice Location Address
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    Address Line         |    1906 BLAKE AVE 
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    City                 |    GLENWOOD SPGS
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    State                |    CO
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    Zip                  |    81601-4298
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    Country              |    US
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    Telephone            |    970-384-7290
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    Fax                  |    970-384-7293
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2270 
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    City                 |    GLENWOOD SPGS
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    State                |    CO
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    Zip                  |    81602-2270
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    Country              |    US
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    Telephone            |    970-384-7033
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    Fax                  |    970-945-5460
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Authorized Official
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    Title or Position    |    CHIEF FINANCIAL OFFICER
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    Name                 |     CHARLES  CREVLING 
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    Credential           |    
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    Telephone            |    970-384-6606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    0886
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    0886
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    License Number State |    CO
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