| Valley View Hospital Association | |
|
1906 Blake Ave Glenwood Springs CO 81601-4227 | |
| (970) 384-6710 | |
| (970) 384-7536 |
| Full Name | Valley View Hospital Association |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1906 Blake Ave, Glenwood Springs, Colorado |
| Authorized Official Name and Position | Charles Crevling (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9703846606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley View Hospital Association Po Box 2270 Glenwood Springs CO 81602-2270 Ph: (970) 384-6710 | Valley View Hospital Association 1906 Blake Ave Glenwood Springs CO 81601-4227 Ph: (970) 384-6710 |
| NPI Number | 1407584758 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 1850294778 |
|---|---|
| Medicare Enrollment ID | O20221128002959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407584758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Peter V Wiley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255492393 PECOS PAC ID: 1456415595 Enrollment ID: I20090204000170 |
| Provider Name | Michelle Renee Krelovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376144154 PECOS PAC ID: 5193138212 Enrollment ID: I20210111001807 |
| Provider Name | Brenda Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205994951 PECOS PAC ID: 0446481071 Enrollment ID: I20210510001866 |
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