NPIMap

Organization Active NPI

Arkansas Valley Regional Medical Center

Doing business as Rural Health Clinic - Primary Care

  • Rural Health Clinic/Center
  • La Junta, CO
National Provider Identifier
1013705243
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ARKANSAS VALLEY REGIONAL MEDICAL CENTER
Doing business as
Rural Health Clinic - Primary Care
Practice address
1100 Carson Ave Ste 201
La Junta, CO 81050-2748
Phone
(719) 383-5925
Fax
(719) 383-5928
NPI assigned
Apr 28, 2025
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS VALLEY REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aaron Brent Crowell
Title
Clinic Director
Phone
(719) 383-6390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1100 Carson Ave Ste 201
La Junta, CO 81050-2748

Mailing address

1100 Carson Ave
La Junta, CO 81050-2751
Phone (719) 383-5925

Other names 1

  • Rural Health Clinic - Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013705243. Details of each certification follow.

Rural health clinic certification: CCN 068532

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RURAL HEALTH CLINIC - LA JUNTA
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 23, 2025
Last certification
Dec 23, 2025
Ownership / control type
2B
Facility address
1100 Carson Ave Ste 201/100
La Junta, CO 81050
Related CCNs
061336

National Provider Directory

National Provider Directory
Tax ID family
Ar Valley Reg Anesthesia8 organizations share this tax ID, including this one
Part of
Ar Valley Reg Anesthesia

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1013705243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502751",
            "telephone_number": "719-383-5925",
            "fax_number": "719-383-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE STE 201",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502748",
            "telephone_number": "719-383-5925",
            "fax_number": "719-383-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS VALLEY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS VALLEY REGIONAL MEDICAL CENTER",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "719-383-6390"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Health Clinic - Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Junta, CO

Sources for this page

Verify at the official NPI Registry.