Valley View Hospital Association
Organization Active NPI Internal Medicine Physician · Glenwood Springs, CO
NPI 1396319653 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1396319653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- VALLEY VIEW HOSPITAL ASSOCIATION
- Practice address
- 2305 Blake Avenue
Glenwood Springs, CO 81601-4325 - Phone
- (970) 384-6707
- Fax
- (970) 384-8128
- NPI assigned
- May 19, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- VALLEY VIEW HOSPITAL ASSOCIATION
Authorized official
- Name
- Charles Crevling
- Title
- Cfo
- Phone
- (970) 384-6606
Corporate family (same tax ID) 24
Practitioners 6
-
Lindsay Conner, M.D., MPH
-
Jeffrey E Fegan, MD
-
Giora Hahn, MD
-
Jamie B Lowe, MD
-
Marc Robert Walker, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0704621 | Glenwood Springs Health Care | Certificate of waiver | Jan 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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… |
National Provider Directory
- Tax ID family
- Valley View Hospital
- Part of
- Valley View Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
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
- Internal Medicine at Valley View- Glenwood Springs Health Care
Other providers in Glenwood Springs, CO
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
All providers in Glenwood Springs, CO · Internal Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.