NPIMap

Organization Active NPI

Valley Citizens' Foundation for Healthcare, Inc

  • Physical Therapy Clinic/Center
  • Monte Vista, CO
National Provider Identifier
1447717418
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VALLEY CITIZENS' FOUNDATION FOR HEALTHCARE, INC
Practice address
1033 2ND Ave
Monte Vista, CO 81144-1737
Phone
(719) 628-0118
Fax
(719) 628-0119
NPI assigned
Feb 26, 2019
Organization subpart
Yes
Parent organization
VALLEY CITIZENS' FOUNDATION FOR HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Jenny M Gallegos
Title
Admin Sec/Credentialing
Phone
(719) 657-4102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 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) 657-4102

Other names 1

  • Monte Vista Physical Therapy 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
Part of
Rio Grande Hospital

Member organizations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1447717418",
    "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": "719-657-4102",
            "fax_number": "719-657-4064"
        },
        {
            "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": "719-628-0118",
            "fax_number": "719-628-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CITIZENS' FOUNDATION FOR HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY CITIZENS' FOUNDATION FOR HEALTHCARE, INC",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMIN SEC/CREDENTIALING",
        "authorized_official_telephone_number": "719-657-4102"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monte Vista Physical Therapy 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 Feb 27, 2019; 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.