NPIMap

Organization Active NPI

Lower Valley Hospital Association

Doing business as Family Health West Rehabilitative Medicine

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fruita, CO
National Provider Identifier
1902270440
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
0030888 Issued in CO
Legal business name
LOWER VALLEY HOSPITAL ASSOCIATION
Doing business as
Family Health West Rehabilitative Medicine
Practice address
551 Kokopelli Blvd Unit F
Fruita, CO 81521-6305
Phone
(970) 858-2585
Fax
(970) 858-2555
NPI assigned
Nov 20, 2015
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0030888 CO Primary

Addresses

Primary practice location

551 Kokopelli Blvd Unit F
Fruita, CO 81521-6305

Mailing address

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

Other names 1

  • Family Health West Rehabilitative Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000937 CO Part B Supplier - Public Health/Welfare Agency 4284526021 Receives reassigned benefits from 95 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fruita, CO; Grand Junction, CO

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Lower Valley Hospital Assoc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 10

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": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1902270440",
    "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": "551 KOKOPELLI BLVD UNIT F",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216305",
            "telephone_number": "970-858-2585",
            "fax_number": "970-858-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER VALLEY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KORREY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "970-858-2164"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "0030888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health West Rehabilitative Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health West Rehabilitative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fruita, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.