| Lower Valley Hospital Association | |
|
300 W Ottley Ave Fruita CO 81521-2118 | |
| (970) 858-2186 | |
| (970) 858-2208 |
| Full Name | Lower Valley Hospital Association |
|---|---|
| Speciality | Anesthesiology |
| Location | 300 W Ottley Ave, Fruita, Colorado |
| Authorized Official Name and Position | Korrey Klein (PRESIDENT/CEO) |
| Authorized Official Contact | 9708582164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lower Valley Hospital Association Po Box 130 Fruita CO 81521-0130 Ph: (970) 858-2186 | Lower Valley Hospital Association 300 W Ottley Ave Fruita CO 81521-2118 Ph: (970) 858-2186 |
| NPI Number | 1609190206 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 04/03/2024 |
| Medicare PECOS PAC ID | 4284526021 |
|---|---|
| Medicare Enrollment ID | O20040326000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609190206 | NPI | - | NPPES |
| Provider Name | Kathryn E Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174506760 PECOS PAC ID: 7214821305 Enrollment ID: I20040210000770 |
| Provider Name | Daniel R Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093775728 PECOS PAC ID: 5092707190 Enrollment ID: I20040408000358 |
| Provider Name | John L Gustavson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720068059 PECOS PAC ID: 2567447345 Enrollment ID: I20040624000354 |
| Provider Name | Mitchell Burnbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700866159 PECOS PAC ID: 8325027444 Enrollment ID: I20040714000333 |
| Provider Name | Wendy S Filener |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932167996 PECOS PAC ID: 4688649064 Enrollment ID: I20040830000422 |
| Provider Name | Scott E Vincent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346395985 PECOS PAC ID: 3072589712 Enrollment ID: I20040903000756 |
| Provider Name | Diane Dill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265502629 PECOS PAC ID: 7113970484 Enrollment ID: I20050226000053 |
| Provider Name | Todd E Hegstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669474896 PECOS PAC ID: 4183521867 Enrollment ID: I20050428000989 |
| Provider Name | Paul D Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588605687 PECOS PAC ID: 8729048137 Enrollment ID: I20050830000064 |
| Provider Name | Yvette R Burdick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265463525 PECOS PAC ID: 1658285697 Enrollment ID: I20051116000482 |
| Provider Name | Todd A Kinnick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265452817 PECOS PAC ID: 6709893308 Enrollment ID: I20060307000315 |
| Provider Name | Christopher J Copeland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982651634 PECOS PAC ID: 7214839919 Enrollment ID: I20060824000112 |
| Provider Name | Angela Yue-ting Gao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528010527 PECOS PAC ID: 2567467848 Enrollment ID: I20060919000601 |
| Provider Name | Andrew W Winnefeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174508923 PECOS PAC ID: 8426153354 Enrollment ID: I20070420000250 |
| Provider Name | Michael G Neste |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467542969 PECOS PAC ID: 1456312297 Enrollment ID: I20070507000292 |
| Provider Name | Ellen Woelfel Price |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982684247 PECOS PAC ID: 4284628017 Enrollment ID: I20070908000070 |
| Provider Name | Michael J Ash |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528022365 PECOS PAC ID: 5496825705 Enrollment ID: I20080529000359 |
| Provider Name | Korrey D Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063557809 PECOS PAC ID: 9335214931 Enrollment ID: I20080815000594 |
| Provider Name | John A Rapiejko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649428426 PECOS PAC ID: 4183788110 Enrollment ID: I20090205000356 |
| Provider Name | Cody N Hogeston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366613440 PECOS PAC ID: 3274686290 Enrollment ID: I20090807000469 |
| Provider Name | Brian K Belnap |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417960287 PECOS PAC ID: 3971640210 Enrollment ID: I20091020000432 |
| Provider Name | Samantha D Mccluskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053366179 PECOS PAC ID: 1557492170 Enrollment ID: I20100625000788 |
| Provider Name | Troy A Griffiths |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457300170 PECOS PAC ID: 3577657071 Enrollment ID: I20100629000774 |
| Provider Name | William Martin Hilty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043278492 PECOS PAC ID: 3476685900 Enrollment ID: I20100720000444 |
| Provider Name | Julie A Query |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275730418 PECOS PAC ID: 5294914826 Enrollment ID: I20110127000830 |
| Provider Name | Sherman D Straw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366429995 PECOS PAC ID: 9739369547 Enrollment ID: I20110211000218 |
| Provider Name | Megan Lykke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356486807 PECOS PAC ID: 6103957899 Enrollment ID: I20110218000612 |
| Provider Name | Kurtis M Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750464632 PECOS PAC ID: 3971592577 Enrollment ID: I20110629000101 |
| Provider Name | Kelly Common |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700041670 PECOS PAC ID: 6305012642 Enrollment ID: I20120109000156 |
| Provider Name | Douglas P Goforth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942534334 PECOS PAC ID: 9931357563 Enrollment ID: I20120924000454 |
| Provider Name | Lindsay Seilhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104965144 PECOS PAC ID: 9638224868 Enrollment ID: I20121012000386 |
| Provider Name | Peter Thomas Scheffel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326157074 PECOS PAC ID: 2769652866 Enrollment ID: I20130909000093 |
| Provider Name | Benjamin W Carelock |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992949481 PECOS PAC ID: 0840434270 Enrollment ID: I20130924000959 |
| Provider Name | Kimberly I Rieniets |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003917246 PECOS PAC ID: 5799929196 Enrollment ID: I20130925000771 |
| Provider Name | Vanessa R Mcclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407177579 PECOS PAC ID: 2567606866 Enrollment ID: I20130925000953 |
| Provider Name | Michael A Krieves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154584498 PECOS PAC ID: 9133354426 Enrollment ID: I20131022000886 |
| Provider Name | Jessica Mb Mears |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447410568 PECOS PAC ID: 7012144066 Enrollment ID: I20131218001381 |
| Provider Name | Carl R Richards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871880534 PECOS PAC ID: 1456594159 Enrollment ID: I20140903001058 |
| Provider Name | Richard M Ackerson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1104091438 PECOS PAC ID: 4082854559 Enrollment ID: I20141020000845 |
| Provider Name | Brent T Fowler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568722270 PECOS PAC ID: 3072747732 Enrollment ID: I20150901000146 |
| Provider Name | Christopher E Taggart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558541292 PECOS PAC ID: 4284765819 Enrollment ID: I20151008002851 |
| Provider Name | John W Winward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861607632 PECOS PAC ID: 4880748391 Enrollment ID: I20151028002265 |
| Provider Name | John D Leever |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912149261 PECOS PAC ID: 0042473738 Enrollment ID: I20160129000436 |
| Provider Name | Justin M Kaptuch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104117175 PECOS PAC ID: 4587896394 Enrollment ID: I20160520000214 |
| Provider Name | Keri L Selwyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376904300 PECOS PAC ID: 0648565275 Enrollment ID: I20160822002477 |
| Provider Name | Nikos P Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083163612 PECOS PAC ID: 8527348564 Enrollment ID: I20161208000063 |
| Provider Name | Erica Benvenutti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699088963 PECOS PAC ID: 1557643624 Enrollment ID: I20170125001044 |
| Provider Name | Richard A Cappiello |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346209574 PECOS PAC ID: 5496737397 Enrollment ID: I20170320002027 |
| Provider Name | Eva M Cappiello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194922658 PECOS PAC ID: 9133214687 Enrollment ID: I20170512001787 |
| Provider Name | Aric J Rastrelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699111492 PECOS PAC ID: 5294976999 Enrollment ID: I20170803003226 |
| Provider Name | Lyrad Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356318216 PECOS PAC ID: 2163676388 Enrollment ID: I20170822002103 |
| Provider Name | Rebecca L Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134531627 PECOS PAC ID: 7719286509 Enrollment ID: I20170829004104 |
| Provider Name | Mary Suzanne Mccutchan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801394473 PECOS PAC ID: 5496015471 Enrollment ID: I20180213000607 |
| Provider Name | Kaia Marie Knutson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669731527 PECOS PAC ID: 8325287360 Enrollment ID: I20180314001328 |
| Provider Name | Cathy M Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255661955 PECOS PAC ID: 6901053990 Enrollment ID: I20180504002159 |
| Provider Name | Frank B Shahbahrami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871533083 PECOS PAC ID: 6406850536 Enrollment ID: I20180703002746 |
| Provider Name | Meredith T Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396124269 PECOS PAC ID: 9335448125 Enrollment ID: I20180820000650 |
| Provider Name | Christopher Meinzen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821477613 PECOS PAC ID: 8921307604 Enrollment ID: I20180828001510 |
| Provider Name | Jeanne M Haberer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447240767 PECOS PAC ID: 8224021704 Enrollment ID: I20181009000648 |
| Provider Name | Michael D Forte |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588002604 PECOS PAC ID: 1456593383 Enrollment ID: I20181203001724 |
| Provider Name | Amber L Conners |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720372832 PECOS PAC ID: 6103071790 Enrollment ID: I20190620002142 |
| Provider Name | Kyle Robert Christopherson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1184036105 PECOS PAC ID: 9032467436 Enrollment ID: I20190815000208 |
| Provider Name | Brian K Flanagan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841586286 PECOS PAC ID: 8022308345 Enrollment ID: I20191002000426 |
| Provider Name | Hallie Blunck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568825578 PECOS PAC ID: 1254626906 Enrollment ID: I20200710002704 |
| Provider Name | Andrew Dominic D'alessandro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871879692 PECOS PAC ID: 7315361409 Enrollment ID: I20200722001936 |
| Provider Name | John D Draminski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578095436 PECOS PAC ID: 2163791070 Enrollment ID: I20200727001242 |
| Provider Name | Mackenzie K Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073046488 PECOS PAC ID: 6305115965 Enrollment ID: I20200727001605 |
| Provider Name | Kristina M Puls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801320809 PECOS PAC ID: 1557631066 Enrollment ID: I20200729002261 |
| Provider Name | Melissa A Campbell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982161964 PECOS PAC ID: 5991120446 Enrollment ID: I20200731000976 |
| Provider Name | Margaret Elizabeth Schlofner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093324006 PECOS PAC ID: 3173940921 Enrollment ID: I20200825003769 |
| Provider Name | Stacy Shomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245849637 PECOS PAC ID: 5496167082 Enrollment ID: I20201228000340 |
| Provider Name | David Roberto Saldivar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1164870515 PECOS PAC ID: 0648562900 Enrollment ID: I20210726002776 |
| Provider Name | David L Simmons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609046747 PECOS PAC ID: 9436217007 Enrollment ID: I20210811000637 |
| Provider Name | Bryan J Stover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508251828 PECOS PAC ID: 8123423050 Enrollment ID: I20210816002849 |
| Provider Name | Joseph Ben Salganik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841726999 PECOS PAC ID: 2365711561 Enrollment ID: I20210817001924 |
| Provider Name | Wesley Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730685579 PECOS PAC ID: 1557794351 Enrollment ID: I20211022001236 |
| Provider Name | Raelynn Hilgenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306416094 PECOS PAC ID: 3971992801 Enrollment ID: I20211116000882 |
| Provider Name | Laura Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114154572 PECOS PAC ID: 7113174699 Enrollment ID: I20220704000020 |
| Provider Name | Forrest Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487117206 PECOS PAC ID: 9335567817 Enrollment ID: I20220711000001 |
| Provider Name | Michael Leslie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548729684 PECOS PAC ID: 2264761345 Enrollment ID: I20220712000992 |
| Provider Name | Scott A Emsley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598099616 PECOS PAC ID: 2961887484 Enrollment ID: I20220920002715 |
| Provider Name | Tanner Staples |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407351547 PECOS PAC ID: 7618215450 Enrollment ID: I20221219002292 |
| Provider Name | Carl E Blunck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689646473 PECOS PAC ID: 6901796275 Enrollment ID: I20230201001148 |
| Provider Name | Brian W Moon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255430161 PECOS PAC ID: 1153394754 Enrollment ID: I20230302001296 |
| Provider Name | Carolina Carvelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013622786 PECOS PAC ID: 1658744941 Enrollment ID: I20230308000094 |
| Provider Name | Ryan Payne |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427349174 PECOS PAC ID: 9537387907 Enrollment ID: I20230505001242 |
| Provider Name | Tabitha Graves Emsley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619104056 PECOS PAC ID: 4385000330 Enrollment ID: I20230517000057 |
| Provider Name | Brenda Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831254879 PECOS PAC ID: 8426438714 Enrollment ID: I20230621001084 |
| Provider Name | Lena Ning |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114355971 PECOS PAC ID: 4486016805 Enrollment ID: I20230817001291 |
| Provider Name | Zachary J Vincent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962025585 PECOS PAC ID: 6305233321 Enrollment ID: I20230901003608 |
| Provider Name | Lynsay Bush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205456324 PECOS PAC ID: 5496171357 Enrollment ID: I20230928001618 |
| Provider Name | Heather J Hornbacher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689064438 PECOS PAC ID: 3971929621 Enrollment ID: I20230928002411 |
| Provider Name | Megan Trzaskoma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073667911 PECOS PAC ID: 3072685064 Enrollment ID: I20231009001669 |
| Provider Name | Eberechi Cornelia Ekechukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710418074 PECOS PAC ID: 9335489061 Enrollment ID: I20231026003842 |
| Provider Name | Paul Engstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760060412 PECOS PAC ID: 3678974011 Enrollment ID: I20231028000625 |
| Provider Name | Jared A Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861745077 PECOS PAC ID: 6507182516 Enrollment ID: I20231213001408 |
| Provider Name | Joshua Michael Gavin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316391584 PECOS PAC ID: 5294062808 Enrollment ID: I20240729000062 |
| Provider Name | Joshua C Storey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003137647 PECOS PAC ID: 9234400110 Enrollment ID: I20240730001084 |
| Provider Name | Alexandra Hulst |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770964132 PECOS PAC ID: 5294269809 Enrollment ID: I20241105002083 |
Harmony Hrt Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 456 Kokopelli Blvd Unit B, Fruita, CO 81521 Phone: 970-639-2627 | |
Lower Valley Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-3900 | |
Community Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Jurassic Ave Unit B, Fruita, CO 81521 Phone: 970-858-6677 Fax: 970-858-6679 | |
Lower Valley Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Kokopelli Blvd Ste 1, Fruita, CO 81521 Phone: 970-858-9894 Fax: 970-858-1331 | |
Lower Valley Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-2586 Fax: 970-858-2023 | |
Western Valley Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-9894 Fax: 970-858-1331 |