Provider Demographics
NPI:1295374361
Name:VALLEY VIEW HOSPITAL ACUTE INPATIENT REHAB
Entity Type:Organization
Organization Name:VALLEY VIEW HOSPITAL ACUTE INPATIENT REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
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 1:1905 BLAKE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4286
Mailing Address - Country:US
Mailing Address - Phone:970-947-9999
Mailing Address - Fax:970-947-9226
Practice Address - Street 1:350 MARKET ST UNIT 200
Practice Address - Street 2:
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-7403
Practice Address - Country:US
Practice Address - Phone:970-947-9999
Practice Address - Fax:970-947-9226
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY VIEW HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty