Valley View Hospital Association
Organization Active NPI Cardiovascular Disease Physician · Basalt, CO
NPI 1629613294 · NPPES record last updated Mar 26, 2023
Key facts
- NPI
- 1629613294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- VALLEY VIEW HOSPITAL ASSOCIATION
- Practice address
- 350 Market St Unit 201
Basalt, CO 81621-7403 - Phone
- (970) 384-7290
- Fax
- (970) 384-8147
- NPI assigned
- Nov 7, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- VALLEY VIEW HOSPITAL ASSOCIATION
Authorized official
- Name
- Sarah Moore
- Title
- Director of Revenue Cycle
- Phone
- (970) 384-6874
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 24
Practitioners 10
-
Beryle K Frank, PA
-
Derrick D Kooker, P.A.
-
B Jason Bowles, MD
-
Dominick Valentine, PA-C
-
Jeffrey E Fegan, MD
-
Jamie B Lowe, MD
-
Marc Robert Walker, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060127000173 | CO | Part B Supplier - Hospital Department(S) | 1850294778 |
Receives reassigned benefits from 73 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rifle, CO; Basalt, CO; Silt, CO; Parachute, CO; Meeker, CO; Grand Junction, CO; Glenwood Springs, CO; Fruita, CO… |
National Provider Directory
- Tax ID family
- Valley View Hospital
- Part of
- Valley View Hospital
Locations
350 Market St
Unit 200C
Basalt, CO 81621
Phone (970) 384-7100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
350 Market St Unit 201
Basalt, CO 81621-7403
Mailing address
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone (970) 384-7290
Other names
- The Heart and Vascular Center
Other providers in Basalt, 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 Basalt, CO · Cardiovascular Disease 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 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.