Active NPI
Valley-Wide Health Systems, Inc
- Federally Qualified Health Center (FQHC)
- La Jara, CO
National Provider Identifier
1295724797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- VALLEY-WIDE HEALTH SYSTEMS, INC
- Practice address
- 421 Walnut Street
La Jara, CO 81140 - Phone
- (719) 274-8948
- Fax
- (719) 274-8950
- NPI assigned
- Oct 18, 2005
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jania Arnoldi
- Title
- President/Ceo
- Phone
- (719) 589-5161
Corporate family (same tax ID) 33
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National Provider Directory
National Provider Directory- Tax ID family
- Valley-Wide Health Systems Inc
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | CO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
421 Walnut Street
La Jara, CO 81140
Mailing address
128 Market St
Alamosa, CO 81101-2290
Phone (719) 587-1001
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280030 | Other | CO | DELTA DENTAL |
Other names 1
NPPES NPI Registry- La Jara Dental Clinic
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": "1129593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1295724797",
"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": "421 WALNUT STREET",
"city": "LA JARA",
"state": "CO",
"postal_code": "81140",
"telephone_number": "719-274-8948",
"fax_number": "719-274-8950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY-WIDE HEALTH SYSTEMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-18",
"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": "PRESIDENT/CEO",
"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": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "280030",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "La Jara Dental Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "La Jara Dental Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Jara, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.