VALLEY-WIDE HEALTH SYSTEMS INC NPI 1295724797

NPI Information

NPI: 1295724797
Provider Name: VALLEY-WIDE HEALTH SYSTEMS, INC

Doing Business As: LA JARA DENTAL CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
421 WALNUT STREET
LA JARA, CO
ZIP 81140
Phone: (719) 274-8948
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VALLEY-WIDE HEALTH SYSTEMS, INC is a federally qualified health center (fqhc) clinic center in La Jara, CO. VALLEY-WIDE HEALTH SYSTEMS, INC NPI is 1295724797. The provider is registered as an organization entity type.
The provider Is Doing Business As La Jara Dental Clinic.

The provider's business location address is:

421 WALNUT STREET
LA JARA, CO
ZIP 81140
Phone: (719) 274-8948
Fax: (719) 274-8950

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 enumeration date for this NPI number is 10/18/2005 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	09721070	MEDICAID	COLORADO
2	280030	OTHER	COLORADO	DELTA DENTAL

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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