NPIMap

Organization Active NPI

Valley-Wide Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Canon City, CO
National Provider Identifier
1225640931
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY-WIDE HEALTH SYSTEMS, INC.
Practice address
1215 Main St Ste B
Canon City, CO 81212-3505
Phone
(719) 275-2301
Fax
(719) 275-4131
NPI assigned
Aug 24, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jania Arnoldi
Title
Ceo/President
Phone
(719) 589-5161

Corporate family (same tax ID) 33

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

View all 33

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Federally qualified health center certification: CCN 061019

Medicare enrollment files
Legal name
VALLEY-WIDE HEALTH SYSTEMS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 9, 2020
Last certification
Sep 9, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 17, 1977 in CO
Enrollment address
1215 Main St Suite B
Canon City, CO 81212-3505

All disclosed owners & managing parties 3

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Javier Martinez Individual Corporate OfficerChief Financial Officer Mar 18, 2018
W-2 Managing EmployeeChief Financial Officer Mar 18, 2018
Jania Arnoldi Individual Corporate DirectorCeo/President Mar 1, 2018
W-2 Managing EmployeeCeo/President Mar 1, 2018
Valley-Wide Health Systems, Inc. Organization, Canon City, CO Non-profit Other Aug 17, 2020

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20200910002155 CO Part a Provider - Federally Qualified Health Center (FQHC) 5991609067 Practice locations: Canon City, CO

National Provider Directory

National Provider Directory
Tax ID family
Valley-Wide Health Systems Inc (34 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

1215 Main St Ste B
Canon City, CO 81212-3505

Mailing address

128 Market St
Alamosa, CO 81101-2290
Phone (719) 587-1001

Other names 1

NPPES NPI Registry
  • The Pulse School-Based Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2024.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1225640931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MARKET ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012290",
            "telephone_number": "719-587-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 MAIN ST STE B",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123505",
            "telephone_number": "719-275-2301",
            "fax_number": "719-275-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY-WIDE HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "ARNOLDI",
        "authorized_official_first_name": "JANIA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "719-589-5161"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pulse School-Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pulse School-Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.