Lower Valley Hospital Association
Organization Active NPI Neurology Physician · Fruita, CO
NPI 1669070306 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1669070306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- LOWER VALLEY HOSPITAL ASSOCIATION
- Practice address
- 551 Kokopelli Blvd Unit G
Fruita, CO 81521-6305 - Phone
- (970) 243-9180
- Fax
- (970) 245-2697
- NPI assigned
- Oct 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Korrey Klein, MD
- Title
- President/Ceo
- Phone
- (970) 858-2164
Other NPIs on the same Medicare enrollment 14
Corporate family (same tax ID) 16
Practitioners 4
-
David Saldivar, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040326000937 | CO | Part B Supplier - Public Health/Welfare Agency | 4284526021 |
Receives reassigned benefits from 95 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fruita, CO; Grand Junction, CO |
National Provider Directory
- Tax ID family
- Lower Valley Hospital Association
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
551 Kokopelli Blvd Unit G
Fruita, CO 81521-6305
Mailing address
PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186
Other names
- Family Health West Neurology
Other providers in Fruita, CO
- Lower Valley Hospital Association
- Lower Valley Hospital Association
- Lower Valley Hospital Association
- Lower Valley Hospital Association
- Lower Valley Hospital Association
- Lower Valley Hospital Association
- Lower Valley Hospital Association
- Lower Valley Hospital Association
- Lower Valley Hospital Association
- Lower Valley Hospital Association
All providers in Fruita, CO · Neurology 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 Apr 3, 2024. 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.