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1861496697

NPI Code Detail

MEDICARE: LOWER VALLEY HOSPITAL ASSOCIATION

MEDICARE: LOWER VALLEY 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	275N00000X	Medicare Defined Swing Bed Hospital Unit	2511OC	CO
2	310400000X	Assisted Living Facility	AL-0277	CO
3	310400000X	Assisted Living Facility	AL-0444	CO
4	314000000X	Skilled Nursing Facility	0213	CO
5	282NC0060X	Critical Access Hospital	0212	CO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861496697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOWER VALLEY HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	PO BOX 130
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-0130
Country	:	US
Telephone Number	:	970-858-2186
Fax Number	:	970-858-2208

Provider Business Practice Location Address
First Line	:	300 W OTTLEY AVE
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-2118
Country	:	US
Telephone Number	:	970-858-3900
Fax Number	:	970-858-2208

Authorized Official
Title or Position	:	CEO
Name	:	KORREY D KLEIN
Credential	:
Telephone Number	:	970-858-2164

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	06/26/2024

Similar Medicare Providers

1982684247 — ELLEN WOELFEL PRICE DO
Practice Location Address:

300 W OTTLEY AVE
FRUITA, CO
81521-2118

Practice Phone: 970-858-2585
Practice Fax: 970-858-2555

1689646473 — DR. CARL ERNST BLUNCK M.D.
Practice Location Address:

300 W OTTLEY AVE
FRUITA, CO
81521-2118

Practice Phone: 970-858-2186
Practice Fax: 970-858-2208

1669430450 — SHERI LOUISE BRINKER MD
Practice Location Address:

300 W OTTLEY AVE
FRUITA, CO
81521-2118

Practice Phone: 970-858-2149
Practice Fax: 970-858-2200

1982653770 — DAVID JOSEPH SNOVER PA-C, ATC
Practice Location Address:

300 W OTTLEY AVE
FRUITA, CO
81521-2118

Practice Phone: 970-858-2705
Practice Fax: 970-858-9961

1790715720 — DR. ANDREW JEREMIAH MORSE DO
Practice Location Address:

300 W OTTLEY AVE
FRUITA, CO
81521-2118

Practice Phone: 970-858-3900
Practice Fax: 970-858-2202

1215951447 — DAVID P KIRCH MD
Practice Location Address:

300 W OTTLEY AVE
FRUITA, CO
81521-2118

Practice Phone: 970-858-3900
Practice Fax: 970-858-2202

Directions to “LOWER VALLEY HOSPITAL ASSOCIATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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