NPIMap

Organization Active NPI

Valley View Hospital Association

Doing business as Internal Medicine at Valley View- Glenwood Springs Health Care

  • Internal Medicine Physician
  • Glenwood Springs, CO
National Provider Identifier
1396319653
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VALLEY VIEW HOSPITAL ASSOCIATION
Doing business as
Internal Medicine at Valley View- Glenwood Springs Health Care
Practice address
2305 Blake Avenue
Glenwood Springs, CO 81601-4325
Phone
(970) 384-6707
Fax
(970) 384-8128
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY VIEW HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Charles Crevling
Title
Cfo
Phone
(970) 384-6606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2305 Blake Avenue
Glenwood Springs, CO 81601-4325

Mailing address

1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone (970) 384-6707

Other names 1

  • Internal Medicine at Valley View- Glenwood Springs Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0704621Glenwood Springs Health Care2305 Blake Ave, Glenwood Springs, CO 81601Certificate of waiverJan 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Valley View Hospital Assc125 organizations share this tax ID, including this one
Part of
Valley View Hospital Assc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1396319653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "970-384-6707",
            "fax_number": "970-384-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 BLAKE AVENUE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014325",
            "telephone_number": "970-384-6707",
            "fax_number": "970-384-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY VIEW HOSPITAL ASSOCIATION",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "CREVLING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-384-6606"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine at Valley View- Glenwood Springs Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.