Valley Citizens' Foundation for Health Care, Inc
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Del Norte, CO
NPI 1396408100 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1396408100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE, INC
- Practice address
- 310 County Road 14
Del Norte, CO 81132-8719 - Phone
- (719) 657-2510
- Fax
- (719) 651-2511
- NPI assigned
- Oct 19, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE, INC
Authorized official
- Name
- Jenny M Gallegos
- Title
- Admin Sec/Cred
- Phone
- (719) 850-4948
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Rio Grande Hospital
- Part of
- Rio Grande Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes | ||
| Critical Access Hospital | 282NC0060X |
Addresses
Primary practice location
310 County Road 14
Del Norte, CO 81132-8719
Mailing address
310 County Road 14
Del Norte, CO 81132-8719
Phone (719) 657-2510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05000203 | Medicaid | CO |
Other names
- Rio Grande Hospital Recovery Clinic
Other providers in Del Norte, CO
- Valley Citizens' Foundation for Health Care Inc
- Valley Citizens' Foundation for Health Care Inc
- Valley Citizens' Foundation for Health Care Inc
- Valley Citizens' Foundation for Health Care Inc
- Valley Citizens' Foundation for Health Care Inc
- Enrico John Versace
- Anna Christine Walker
- James Ely Walker
- Kelsey Jo Hurley Walker
- Tiffany Jo Ward
All providers in Del Norte, CO · Substance Use Disorder Rehabilitation Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.