NPIMap

Organization Active NPI

Valley View Hospital Association

Doing business as The Spine Center at Valley View

  • Neurological Surgery Physician
  • Glenwood Springs, CO
National Provider Identifier
1871789768
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
38595 Issued in CO
Legal business name
VALLEY VIEW HOSPITAL ASSOCIATION
Doing business as
The Spine Center at Valley View
Practice address
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone
(970) 384-6770
Fax
(970) 384-6765
NPI assigned
Sep 24, 2007
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY VIEW HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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) 384-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 38595 CO 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) 384-6770

Other identifiers 1

IdentifierTypeStateIssuer
55685854MedicaidCO

Other names 1

  • The Spine Center at Valley View Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…
O20170509002165 CO DME Supplier - Physician - Neurosurgery 1850294778 Practice locations: Glenwood Springs, CO

Other NPIs with the same Medicare PAC ID 22

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

View all 22

National Provider Directory

National Provider Directory
Part of
Valley View Hospital Assn

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1871789768",
    "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": "970-384-6770",
            "fax_number": "970-384-6765"
        },
        {
            "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": "970-384-6770",
            "fax_number": "970-384-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY VIEW HOSPITAL",
        "enumeration_date": "2007-09-24",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "CREVLING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-384-6605"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "38595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55685854",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine Center at Valley View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.

Verify at the official NPI Registry.