NPIMap

Organization Active NPI

Arkansas Valley Regional Medical Center

Doing business as Arkansas Valley Regional Anesthesia

  • Certified Registered Nurse Anesthetist
  • La Junta, CO
National Provider Identifier
1609320514
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ARKANSAS VALLEY REGIONAL MEDICAL CENTER
Doing business as
Arkansas Valley Regional Anesthesia
Practice address
1100 Carson Ave
La Junta, CO 81050-2751
Phone
(719) 383-6000
NPI assigned
Aug 9, 2016
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Heidi J Gearhart, MSN, RN
Title
Cno
Phone
(719) 384-5412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

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 1

  • Arkansas Valley Regional Anesthesia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180205002945 CO Part B Supplier - Hospital Department(S) 9436062833 Receives reassigned benefits from 11 practitioners
Practice locations: La Junta, CO

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ar Valley Reg Anesthesia8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arkansas Valley Regional Medical CenterLa Junta, CO, CCN 061336 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
Arkansas Valley Regional Medical CenterLa Junta, CO, CCN 06Z336 Hospital Operational/Managerial Control (100%) Jul 1, 1998

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 11

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": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1609320514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-3620",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502751",
            "telephone_number": "719-383-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS VALLEY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "719-384-5412",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Valley Regional Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arkansas Valley Regional Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Junta, CO

Sources for this page

Verify at the official NPI Registry.