NPIMap

Lower Valley Hospital Association

Organization Active NPI Critical Access Hospital · Fruita, CO

NPI 1861496697 · NPPES record last updated Jun 26, 2024

Key facts

NPI
1861496697
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
0212 (CO)
Legal business name
LOWER VALLEY HOSPITAL ASSOCIATION
Practice address
300 W Ottley Ave
Fruita, CO 81521-2118
Phone
(970) 858-3900
Fax
(970) 858-2208
NPI assigned
Jun 9, 2005
Organization subpart
Yes
Parent organization (as reported)
LOWER VALLEY HOSPITAL ASSOCIATION

Authorized official

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

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

Owners & managing parties with NPI records 7

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

Other NPIs with the same Medicare PAC ID 2

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

Practitioners 95

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 95

Affiliated clinicians 217

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

View all 217

Medicare Care Compare: Hospital

Listed as
Family Health West Hospital CCN 061302
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in CO

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
Corporation · Non-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
Corporation · Non-profit
Incorporated
Jun 27, 1946 in CO
Enrollment address
300 W Ottley Ave
Fruita, CO 81521-2118
Other Hospital Practice Location

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 Director
Board Member		 Apr 29, 2025
Stuart Chamovitz
Individual 		Corporate Director
Delegated Official		 May 8, 2025
Vanessa R McClellan
Individual 		Corporate Director Jan 8, 2016
Corporate Director
Governing Board Trustee		 Jan 1, 2016
Jenifer Hector
Individual 		Corporate Director
Delegated Official		 May 8, 2025
Christi Flynn
Individual 		Corporate Director
Trustee		 Jan 1, 2022
Corporate Officer
Governing 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 Director
Trustee		 Jan 1, 2023
Corporate Officer
Governing Board Trustee		 Jan 1, 2022
Jerry Hamilton
Individual 		Corporate Director
Trustee		 Jan 1, 2021
Corporate Officer
Governing Board Trustee		 Jan 1, 2021
Theresa M Tabor
Individual 		W-2 Managing Employee
Cfo/Director of Finance		 Sep 29, 2022
Errol E Snider
Individual 		Corporate Director
Governing Board Trustee		 Jan 10, 2017
Christopher J Copeland
Individual 		Corporate Director
Board Member		 Apr 29, 2025
Tom R Oliver
Individual 		Corporate Director
Board Member		 Apr 29, 2025
Jeanne M Haberer
Individual 		Corporate Director
Trustee		 Jan 1, 2022
Corporate Officer
Governing Board Trustee		 Jan 1, 2022
Lori Louise Randall
Individual 		Corporate Officer
Governing Board Assistant Secret		 Mar 11, 2014
W-2 Managing Employee
Exec. VP/Coo/Cno/Hospital Admin		 Jan 18, 2012
Corporate Officer
Govering Board Assistant Secreta		 Mar 11, 2014
W-2 Managing Employee
Exec VP/Coo/Cno/Hosp Admin/Nha		 Mar 11, 2014
Kenneth L Palmer
Individual 		Corporate Officer
Treasurer		 Mar 1, 2023
Corporate Officer
Governing Board Treasurer		 Mar 1, 2023
Korrey D Klein
Individual 		Corporate Officer
Governing Board Secretary		 Aug 13, 2019
W-2 Managing Employee
President/Chief Executive Officer		 Aug 13, 2019
Corporate Officer
Secretary		 Aug 13, 2019
W-2 Managing Employee Aug 13, 2019
Paul Burdett
Individual 		Corporate Officer
Governing Board Chair		 Mar 1, 2023
Larry D Tice
Individual 		Corporate Officer
Governing Board Trustee		 Jan 1, 2021
Jennifer Landini
Individual 		Corporate Officer
Governing Board Vice Chair		 Mar 1, 2023

Medicare enrollment records

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

National Provider Directory

Part of
Lower Valley Hospital Association

Locations

576 Kokopelli Blvd
Unit De
Fruita, CO 81521
Phone (970) 858-2590

551 Kokopelli Blvd
Unit E
Fruita, CO 81521
Phone (970) 858-2147

300 W Ottley Ave
Fl First
Fruita, CO 81521

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2511OC CO
Critical Access Hospital 282NC0060X 0212 CO Yes
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 identifiers

IdentifierTypeStateIssuer
05063003MedicaidCO
05653712MedicaidCO
04181780MedicaidCO
05659131MedicaidCO

Other names

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2024.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05063003",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05653712",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04181780",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05659131",
            "state": "CO"
        }
    ],
    "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

All providers in Fruita, CO · Critical Access Hospital in Colorado

Sources for this page

Verify at the official NPI Registry.