| Valley-wide Health Systems, Inc | |
|
903 S 12th St Rocky Ford CO 81067-2127 | |
| (719) 254-7623 | |
| (719) 254-5112 |
| Full Name | Valley-wide Health Systems, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 903 S 12th St, Rocky Ford, Colorado |
| Authorized Official Name and Position | Jania Arnoldi (PRESIDENT/CEO) |
| Authorized Official Contact | 7195895161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley-wide Health Systems, Inc 128 Market St Alamosa CO 81101-2290 Ph: (719) 589-5161 | Valley-wide Health Systems, Inc 903 S 12th St Rocky Ford CO 81067-2127 Ph: (719) 254-7623 |
| NPI Number | 1104813682 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 05/10/2024 |
| Medicare PECOS PAC ID | 5991609067 |
|---|---|
| Medicare Enrollment ID | O20040105000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104813682 | NPI | - | NPPES |
| CE 9669 | Other | CO | TRAVELERS MEDICARE NUMBER |
| 04280270 | Medicaid | CO | |
| VAC 4808 | Other | CO | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |