NPIMap

Organization Active NPI

Arkansas Valley Regional Medical Center

  • Radiology Clinic/Center
  • La Junta, CO
National Provider Identifier
1124612130
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ARKANSAS VALLEY REGIONAL MEDICAL CENTER
Practice address
1100 Carson Ave
La Junta, CO 81050-2751
Phone
(719) 383-6000
NPI assigned
Feb 22, 2021
Last updated
Oct 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 Oct 28, 2025

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

Authorized official

Name
Heidi J Gearhart, MSN, RN
Title
Cno
Phone
(719) 384-5412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1100 Carson Ave
La Junta, CO 81050-2751

Mailing address

1100 Carson Ave
La Junta, CO 81050-2751
Phone (719) 383-6000

Other identifiers 1

IdentifierTypeStateIssuer
9000157399MedicaidCO

Other names 1

  • AVRMC Radiologist Other name

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Valley Regional Medical Center Swing Bed8 organizations share this tax ID, including this one
Part of
Arkansas Valley Regional Medical Center Swing Bed

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": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1124612130",
    "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": "719-383-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502751",
            "telephone_number": "719-383-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS VALLEY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS VALLEY REGIONAL MEDICAL CENTER",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "719-384-5412",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000157399",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVRMC Radiologist",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AVRMC Radiologist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Junta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.