Valley View Hospital Association
Organization Active NPI Neurological Surgery Physician · Carbondale, CO
NPI 1700420536 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1700420536
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- VALLEY VIEW HOSPITAL ASSOCIATION
- Practice address
- 978 Euclid Ave
Carbondale, CO 81623-1839 - Phone
- (970) 384-8060
- Fax
- (970) 384-8120
- NPI assigned
- Nov 5, 2019
- 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 8
-
Alexandra Bratschie, CNM, WHNP
-
Eric Jernigan, MD
-
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 |
|---|---|---|---|---|
| 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 |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes | ||
| Orthopaedic Surgery of the Spine Physician |
207XS0117X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X |
Addresses
Primary practice location
978 Euclid Ave
Carbondale, CO 81623-1839
Mailing address
PO Box 2270
Glenwood Springs, CO 81602-2270
Phone (970) 384-8060
Other names
- The Spine Center at Valley View
Other providers in Carbondale, CO
- Christine Truong
- Dale M Ulrich
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Valley View Hospital Association
- Kylee Schuler Van Horn
- Marilyn Janet Vargas
- Matthew George Verheul
All providers in Carbondale, CO · Neurological Surgery 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 Dec 14, 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.