NPIMap

Organization Active NPI

Lower Valley Hospital Association

  • Durable Medical Equipment & Medical Supplies
  • Fruita, CO
National Provider Identifier
1093350845
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOWER VALLEY HOSPITAL ASSOCIATION
Practice address
281 N Plum St
Fruita, CO 81521-2100
Phone
(970) 858-2228
NPI assigned
Nov 14, 2019
Organization subpart
Yes
Parent organization
LOWER VALLEY HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Korrey Klein, MD
Title
Ceo
Phone
(970) 858-2164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

281 N Plum St
Fruita, CO 81521-2100

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Other practice location 1

300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-2186

Other identifiers 1

IdentifierTypeStateIssuer
TBDMedicaidCO

Other names 1

  • Family Health West Durable Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422002692 CO DME Supplier - HospitalDME Supplier - Public Health Or Welfare Agencies 4284526021 Practice locations: Fruita, CO

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Health West DME281 N Plum St, Fruita, CO 81521-2100(970) 858-2530 Canes and/or Crutches|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Aug 1, 2010

National Provider Directory

National Provider Directory
Tax ID family
Lower Valley Hospital Association17 organizations share this tax ID, including this one
Part of
Lower Valley Hospital Association

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Health West HospitalFruita, CO, CCN 061302 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Family Health WestFruita, CO, CCN 06Z302 Hospital Operational/Managerial Control (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1093350845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186",
            "fax_number": "970-858-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N PLUM ST",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212100",
            "telephone_number": "970-858-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Ottley Ave",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212118",
            "country_code": "US",
            "telephone_number": "970-858-2186",
            "fax_number": "970-858-2208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOWER VALLEY HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER VALLEY HOSPITAL ASSOCIATION",
        "enumeration_date": "2019-11-14",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KORREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-858-2164",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBD",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health West Durable Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.