Provider Demographics
NPI: | 1134887797 |
---|---|
Name: | VALLEY VIEW HOSPITAL ASSOCIATION |
Entity type: | Organization |
Organization Name: | VALLEY VIEW HOSPITAL ASSOCIATION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OF REVENUE CYCLE |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SARAH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MOORE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 970-384-6874 |
Mailing Address - Street 1: | PO BOX 2270 |
Mailing Address - Street 2: | |
Mailing Address - City: | GLENWOOD SPRINGS |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 81602-2270 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 970-384-7570 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 750 HOSPITAL LOOP |
Practice Address - Street 2: | |
Practice Address - City: | CRAIG |
Practice Address - State: | CO |
Practice Address - Zip Code: | 81625-8750 |
Practice Address - Country: | US |
Practice Address - Phone: | 970-384-7570 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | VALLEY VIEW HOSPITAL ASSOCIATION |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2021-12-01 |
Last Update Date: | 2021-12-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | Group - Multi-Specialty |