| Organization Name: | LOWER VALLEY HOSPITAL ASSOCIATION |
| NPI Number: | 1366854085 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE JOHNS (BILING/CREDENTIALING) |
| Mailing Address: | 551 Kokopelli Blvd Ste H Fruita |
| State: | CO US |
| Postal Code: | 815216305 |
| Phone Number: | 9708582530 |
| Fax Number: | 9708581196 |
| NPI Enumeration Date: | 05/29/2014 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |