VALLEY-WIDE HEALTH SYSTEMS INC NPI 1396734893

NPI Information

NPI: 1396734893
Provider Name: VALLEY-WIDE HEALTH SYSTEMS, INC
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: ERNESTO PACHECO DENTAL CLINIC
Address: UNIT 1 B AT 233 MAIN STREET
SUITE 2
SAN LUIS, CO
ZIP 81152
Phone: (719) 672-3352

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NPI Details

VALLEY-WIDE HEALTH SYSTEMS, INC is a federally qualified health center (fqhc) clinic center in San Luis, CO. VALLEY-WIDE HEALTH SYSTEMS, INC NPI is 1396734893. The provider is registered as an organization entity type.
The provider Is Doing Business As Ernesto Pacheco Dental Clinic.

The provider's business location address is:

UNIT 1 B AT 233 MAIN STREET
SUITE 2
SAN LUIS, CO
ZIP 81152-328
Phone: (719) 672-3352
Fax: (719) 672-3638

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 4/30/2024.

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	261QD0000X	Clinic/Center	Dental			No
2	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	13984772	MEDICAID	COLORADO
2	480030	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: 3/30/2025

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