NPIMap

Organization Active NPI

Valley Citizens' Foundation for Health Care Inc

Doing business as Monte Vista Medical Clinic of Rio Grande Hospital

  • Clinic/Center
  • Monte Vista, CO
National Provider Identifier
1265891667
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
251011 Issued in CO
Legal business name
VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC
Doing business as
Monte Vista Medical Clinic of Rio Grande Hospital
Practice address
1033 2ND Ave
Monte Vista, CO 81144-1737
Phone
(719) 852-8827
Fax
(719) 852-2739
NPI assigned
Feb 15, 2016
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Arlene Harms
Title
Ceo
Phone
(719) 657-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 251011 CO Primary

Addresses

Primary practice location

1033 2ND Ave
Monte Vista, CO 81144-1737

Mailing address

310 County Road 14
Del Norte, CO 81132-8719
Phone (719) 657-2510

Other identifiers 2

IdentifierTypeStateIssuer
061301OtherCOMEDICARE PART A
90871022MedicaidCO

Other names 1

  • Monte Vista Medical Clinic of Rio Grande Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000548 CO Part B Supplier - Clinic/Group Practice 7517951536 Receives reassigned benefits from 54 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: South Fork, CO; Monte Vista, CO; Creede, CO; Del Norte, CO

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1265891667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328719",
            "telephone_number": "719-657-2510",
            "fax_number": "719-657-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 2ND AVE",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441737",
            "telephone_number": "719-852-8827",
            "fax_number": "719-852-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-657-4104"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "251011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "061301",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90871022",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monte Vista Medical Clinic of Rio Grande Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monte Vista Medical Clinic of Rio Grande Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monte Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.