NPIMap

Organization Active NPI

Lower Valley Hospital Association

Doing business as Family Health West

  • Critical Access Hospital
  • Fruita, CO
National Provider Identifier
1861496697
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0212 Issued in CO
Legal business name
LOWER VALLEY HOSPITAL ASSOCIATION
Doing business as
Family Health West
Family Health West Hospital
Practice address
300 W Ottley Ave
Fruita, CO 81521-2118
Phone
(970) 858-3900
Fax
(970) 858-2208
NPI assigned
Jun 9, 2005
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
LOWER VALLEY HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Korrey D KleinNPI 1063557809
Title
Ceo
Phone
(970) 858-2164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2511OC CO
Critical Access Hospital 282NC0060X 0212 CO Primary
Assisted Living Facility 310400000X AL-0277 CO
Assisted Living Facility 310400000X AL-0444 CO
Skilled Nursing Facility 314000000X 0213 CO

Addresses

Primary practice location

300 W Ottley Ave
Fruita, CO 81521-2118

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Other names 2

  • Family Health West Doing business as
  • Family Health West Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090218000366 CO Part A Provider - Critical Access Hospital 4284526021 Receives reassigned benefits from 78 practitioners
Practice locations: Fruita, CO
O20090218000575 CO Part A Provider - Critical Access Hospital 4284526021 Practice locations: Fruita, CO
O20170227000306 CO Part B Supplier - Mass Immunization (Roster Biller Only) 4284526021 Practice locations: Fruita, CO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1861496697. Details of each certification follow.

Hospital certification: CCN 061302

Legal name
LOWER VALLEY HOSPITAL ASSOCIATION
Doing business as
FAMILY HEALTH WEST HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 1998
Last certification
Mar 29, 2023
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 27, 1946 in CO
Enrollment address
300 W Ottley Ave
Fruita, CO 81521-2118
Other Hospital Practice Location

Hospital certification: CCN 06Z302

Legal name
LOWER VALLEY HOSPITAL ASSOCIATION
Doing business as
FAMILY HEALTH WEST
Organization structure
CorporationNon-profit
Incorporated
Jun 27, 1946 in CO
Enrollment address
300 W Ottley Ave
Fruita, CO 81521-2118
Other Hospital Practice Location

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Family Health West HospitalCCN 061302 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0519354Family Health West Hospital300 W Ottley Ave, Fruita, CO 81521AccreditationAug 7, 2027

National Provider Directory

National Provider Directory
Part of
Family Health West

Locations

300 W Ottley Ave
Fl First
Fruita, CO 81521

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary N Quarnberg Individual Corporate DirectorBoard Member Apr 29, 2025
Stuart Chamovitz Individual Corporate DirectorDelegated Official May 8, 2025
Vanessa R McClellan Individual Corporate Director Jan 8, 2016
Corporate DirectorGoverning Board Trustee Jan 1, 2016
Jenifer Hector Individual Corporate DirectorDelegated Official May 8, 2025
Christi Flynn Individual Corporate DirectorTrustee Jan 1, 2022
Corporate OfficerGoverning Board Trustee Jan 1, 2022
Lower Valley Hospital Association Organization, Fruita, CO Corporation, Non-profit Operational/Managerial Control Jan 1, 1966 100%
Jane Foster Individual Corporate DirectorTrustee Jan 1, 2023
Corporate OfficerGoverning Board Trustee Jan 1, 2022
Jerry Hamilton Individual Corporate DirectorTrustee Jan 1, 2021
Corporate OfficerGoverning Board Trustee Jan 1, 2021
Theresa M Tabor Individual W-2 Managing EmployeeCfo/Director of Finance Sep 29, 2022
Errol E Snider Individual Corporate DirectorGoverning Board Trustee Jan 10, 2017
Christopher J Copeland Individual Corporate DirectorBoard Member Apr 29, 2025
Tom R Oliver Individual Corporate DirectorBoard Member Apr 29, 2025
Jeanne M Haberer Individual Corporate DirectorTrustee Jan 1, 2022
Corporate OfficerGoverning Board Trustee Jan 1, 2022
Lori Louise Randall Individual Corporate OfficerGoverning Board Assistant Secret Mar 11, 2014
W-2 Managing EmployeeExec. VP/Coo/Cno/Hospital Admin Jan 18, 2012
Corporate OfficerGovering Board Assistant Secreta Mar 11, 2014
W-2 Managing EmployeeExec VP/Coo/Cno/Hosp Admin/Nha Mar 11, 2014
Kenneth L Palmer Individual Corporate OfficerTreasurer Mar 1, 2023
Corporate OfficerGoverning Board Treasurer Mar 1, 2023
Korrey D Klein Individual Corporate OfficerGoverning Board Secretary Aug 13, 2019
W-2 Managing EmployeePresident/Chief Executive Officer Aug 13, 2019
Corporate OfficerSecretary Aug 13, 2019
W-2 Managing Employee Aug 13, 2019
Paul Burdett Individual Corporate OfficerGoverning Board Chair Mar 1, 2023
Larry D Tice Individual Corporate OfficerGoverning Board Trustee Jan 1, 2021
Jennifer Landini Individual Corporate OfficerGoverning Board Vice Chair Mar 1, 2023

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 95

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 95

Affiliated clinicians 217

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 217

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1861496697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186",
            "fax_number": "970-858-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OTTLEY AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212118",
            "telephone_number": "970-858-3900",
            "fax_number": "970-858-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER VALLEY HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER VALLEY HOSPITAL ASSOCIATION",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KORREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-858-2164"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "CO",
            "license": "2511OC",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CO",
            "license": "0212",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0277",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0444",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health West Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health West Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.