MEDICARE: VALLEY VIEW HOSPITAL ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275804890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY VIEW HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	978 EUCLID AVENUE
Second Line	:
City	:	CARBONDALE
State	:	CO
Zip	:	81623-1839
Country	:	US
Telephone Number	:	970-963-3350
Fax Number	:

Provider Business Practice Location Address
First Line	:	978 EUCLID AVENUE
Second Line	:
City	:	CARBONDALE
State	:	CO
Zip	:	81623-1839
Country	:	US
Telephone Number	:	970-963-3350
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CHARLES CREVLING
Credential	:
Telephone Number	:	970-384-6606

Provider Enumeration Date	:	01/13/2012
Last Update Date	:	04/28/2021

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Directions to “VALLEY VIEW HOSPITAL ASSOCIATION ” Practice Location

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