VALLEY WIDE HEALTH SYSTEMSINC NPI 1154377356

NPI Information

NPI: 1154377356
Provider Name: VALLEY WIDE HEALTH SYSTEMS,INC

Doing Business As: SIERRA BLANCA MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
106 BLANCA AVE
SUITE 300
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-3658
Get Directions

VALLEY WIDE HEALTH SYSTEMS,INC is a federally qualified health center (fqhc) clinic center in Alamosa, CO. VALLEY WIDE HEALTH SYSTEMS,INC NPI is 1154377356. The provider is registered as an organization entity type.
The provider Is Doing Business As Sierra Blanca Medical Center.

The provider's business location address is:

106 BLANCA AVE
SUITE 300
ALAMOSA, CO
ZIP 81101-340
Phone: (719) 589-3658
Fax: (719) 589-0997

The provider's authorized official is Jania Arnoldi .
The authorized official title is President/ceo and has the following contact phone number (719) 589-5161.

The CLIA number assigned to this NPI record is 06D0644454 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05638200	MEDICAID	COLORADO
2	CE 9669	OTHER	COLORADO	TRAVELERS MEDICARE
3	VAC 4808	OTHER	COLORADO	ANTHEM BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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