NPIMap

Organization Active NPI

Valley View Hospital Association

Doing business as Roaring Fork Family Practice

  • Family Medicine Physician
  • Glenwood Springs, CO
National Provider Identifier
1881290518
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALLEY VIEW HOSPITAL ASSOCIATION
Doing business as
Roaring Fork Family Practice
Practice address
1906 Blake Avenue
Glenwood Springs, CO 81601-4227
Phone
(970) 963-3350
Fax
(970) 963-2958
NPI assigned
Dec 8, 2020
Last updated
Apr 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY VIEW HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1906 Blake Avenue
Glenwood Springs, CO 81601-4227

Mailing address

1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone (970) 384-7033

Other names 1

  • Roaring Fork Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

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…

National Provider Directory

National Provider Directory
Tax ID family
Valley View Hospital Assn124 organizations share this tax ID, including this one
Part of
Valley View Hospital Assn

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 5

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": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1881290518",
    "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": "970-384-7033",
            "fax_number": "970-384-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVENUE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "970-963-3350",
            "fax_number": "970-963-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY VIEW HOSPITAL ASSOCIATION",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roaring Fork Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roaring Fork Family Practice",
            "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 Apr 28, 2021; 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.