Arkansas Valley Regional Medical Center
Organization Active NPI Certified Registered Nurse Anesthetist · La Junta, CO
NPI 1609320514 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1609320514
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- ARKANSAS VALLEY REGIONAL MEDICAL CENTER
- Practice address
- 1100 Carson Ave
La Junta, CO 81050-2751 - Phone
- (719) 383-6000
- NPI assigned
- Aug 9, 2016
- Organization subpart
- No
Authorized official
- Name
- Heidi J Gearhart, MSN, RN
- Title
- Cno
- Phone
- (719) 384-5412
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 7
Practitioners 21
-
John Yody Aucoin, CRNA
-
Robert Jeffrey Howell, CRNA
-
Steven Bruce Swanson, CRNA
-
Kellie Logue, CRNA
-
Brian Shawn Smith, CRNA
-
Kyle C Anderson, CRNA
-
Stuart Allen Jones, CRNA
-
Thomas William Krudewig, CRNA
-
Danny Eugene McCarty, C.R.N.A.
-
Bryan L Richardson, CRNA
-
Terry Michael Smith, CRNA
-
Vernice Ann R Bautista, P.A.-C
-
James Brady, MD
-
Jesus E Carale, MD
-
Valerie Carnes, NP-C
-
Denae Galetti, FNP
-
Michael K Morley, DO
-
Jessica Ojeda, ACNPC-AG
-
Emily Rose Garcia, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Arkansas Valley Regional Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1998 |
| Arkansas Valley Regional Medical Center |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1998 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180205002945 | CO | Part B Supplier - Hospital Department(S) | 9436062833 |
Receives reassigned benefits from 11 practitioners Practice locations: La Junta, CO |
National Provider Directory
- Tax ID family
- Arkansas Valley Regional Medical Center Swing Bed
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
1100 Carson Ave
La Junta, CO 81050-2751
Mailing address
400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-3620
Other names
- Arkansas Valley Regional Anesthesia
Other providers in La Junta, CO
- Arkansas Valley Hearing Center, Inc
- Arkansas Valley Hospice Inc
- Arkansas Valley Hospice Inc
- Arkansas Valley Regional Medical Center
- Arkansas Valley Regional Medical Center
- Arkansas Valley Regional Medical Center
- Arkansas Valley Regional Medical Center
- Arkansas Valley Regional Medical Center
- Arkansas Valley Regional Medical Center Nursing Care Center
- Arkansas Valley Regional Medical Center Respite Care
All providers in La Junta, CO · Certified Registered Nurse Anesthetist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.