Valley View Hospital Association
Organization Active NPI Urology Physician · Eagle, CO
NPI 1043855935 · NPPES record last updated Mar 26, 2023
Key facts
- NPI
- 1043855935
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- VALLEY VIEW HOSPITAL ASSOCIATION
- Practice address
- 377 Sylvan Lake Rd Ste 140
Eagle, CO 81631-6779 - Phone
- (970) 928-0800
- Fax
- (970) 928-7591
- NPI assigned
- Nov 14, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- VALLEY VIEW HOSPITAL ASSOCIATION
Authorized official
- Name
- Charles Crevling
- Title
- Cfo
- Phone
- (970) 384-6606
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 15
Practitioners 5
-
Natalie J Arena, PA-C
-
Jamie B Lowe, MD
-
Joel R Dickens, MD
-
Jeffrey E Fegan, MD
-
Marc Robert Walker, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040129000027 | CO | Part B Supplier - Clinic/Group Practice | 1850294778 |
Receives reassigned benefits from 195 practitioners This NPI is an additional NPI on the enrollment Practice locations: Glenwood Springs, CO; Silt, CO; Rifle, CO; Meeker, CO; Eagle, CO; Aspen, CO; Basalt, CO; Carbondale, CO… |
| O20241004001037 | CO | Part B Supplier - Hospital Department(S) | 1850294778 |
Receives reassigned benefits from 9 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eagle, CO; Rifle, CO; Meeker, CO; Glenwood Springs, CO; Basalt, CO; Aspen, CO |
National Provider Directory
- Tax ID family
- Valley View Hospital
- Part of
- Valley View Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
377 Sylvan Lake Rd Ste 140
Eagle, CO 81631-6779
Mailing address
PO Box 2270
Glenwood Springs, CO 81602-2270
Phone (970) 928-0808
Other names
- Rocky Mountain Urology
Other providers in Eagle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.