Active NPI
Valley View Hospital Association
- Plastic and Reconstructive Surgery Physician
- Glenwood Springs, CO
National Provider Identifier
1740884246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- VALLEY VIEW HOSPITAL ASSOCIATION
- Doing business as
- The Breast Center at Valley View
- Practice address
- 1906 Blake Ave
Glenwood Springs, CO 81601-4227 - Phone
- (970) 384-8070
- Fax
- (970) 927-7606
- NPI assigned
- Nov 24, 2020
- Organization subpart
- Yes
- Parent organization
- VALLEY VIEW HOSPITAL ASSOCIATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Mailing address
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone (970) 384-8070
Other names 1
- The Breast Center at Valley View
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150731016686 | CO | Part B Supplier - Clinic/Group Practice | 1850294778 |
Receives reassigned benefits from 6 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glenwood Springs, CO; Basalt, CO |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Plastic Surgery Physician
- Glenwood SPGS, CO
- NPI 1538553151
O20150731016686
-
- Plastic Surgery Physician
- Basalt, CO
- NPI 1598361933
O20150731016686
National Provider Directory
National Provider Directory- Part of
- Valley View Hospital
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Wheat Ridge, CO
- NPI 1962519363
-
- Plastic Surgery Physician
- Cincinnati, OH
- NPI 1174559314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608163200000",
"number": "1740884246",
"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": "970-384-8070",
"fax_number": "970-927-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BLAKE AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014227",
"telephone_number": "970-384-8070",
"fax_number": "970-927-7606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY VIEW HOSPITAL ASSOCIATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VALLEY VIEW HOSPITAL ASSOCIATION",
"enumeration_date": "2020-11-24",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"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": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Breast Center at Valley View",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Breast Center at Valley View",
"code": "3",
"type": "Doing Business As"
}
]
}
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.