NPIMap

Organization Active NPI

Valley-Wide Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Monte Vista, CO
National Provider Identifier
1821085994
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY-WIDE HEALTH SYSTEMS, INC
Practice address
925 2ND Ave
Monte Vista, CO 81144-1432
Phone
(719) 852-2512
Fax
(719) 852-3923
NPI assigned
Oct 4, 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

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

View all 33

Medicare participation

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

Federally qualified health center certification: CCN 061839

Medicare enrollment files
Legal name
VALLEY-WIDE HEALTH SYSTEMS, INC.
Doing business as
EDWARD M KENNEDY HEALTH CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 8, 1993
Last certification
Feb 8, 1993
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 15, 1976 in CO
Enrollment address
925 2ND Ave
Monte Vista, CO 81144-1432

All disclosed owners & managing parties 6

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Javier Martinez Individual W-2 Managing EmployeeCfo Mar 19, 2019
Sally Espinoza Individual Corporate DirectorVice Chair Mar 30, 2016
Jania Arnoldi Individual Corporate OfficerPresident/Ceo Mar 19, 2019
W-2 Managing EmployeePresident/Ceo Mar 19, 2019
Jeremy Silva Individual Corporate DirectorChair Oct 23, 2019
Michael Trevor la Cost Individual Corporate DirectorTreasurer Feb 22, 2023
Michelle Velasquez Individual Corporate DirectorSecretary Jan 31, 2024

All facility ownership & control disclosures 1

Medicare enrollment files

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

FacilityTypeRoleSince
Valley-Wide Health Systems, Inc.Canon City, CO, CCN 061019 Federally qualified health center Other Aug 17, 2020

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040105000207 CO Part a Provider - Federally Qualified Health Center (FQHC) 5991609067 Practice locations: Monte Vista, CO

National Provider Directory

National Provider Directory
Tax ID family
Valley-Wide Health Systems Inc (34 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X CO Primary

Addresses

NPPES NPI Registry

Primary practice location

925 2ND Ave
Monte Vista, CO 81144-1432

Mailing address

128 Market St
Alamosa, CO 81101-2290
Phone (719) 587-1001

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
CE 9669OtherCOTRAVELERS MEDICARE NUMBER
VAC 4808OtherCOANTHEM BCBS
56836074MedicaidCO

Other names 1

NPPES NPI Registry
  • Edward M. Kennedy Health Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2024.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1821085994",
    "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": "925 2ND AVE",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441432",
            "telephone_number": "719-852-2512",
            "fax_number": "719-852-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY-WIDE HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "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": "TRAVELERS MEDICARE NUMBER",
            "identifier": "CE 9669",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "VAC 4808",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56836074",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward M. Kennedy Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edward M. Kennedy Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monte Vista, CO

Sources for this page

Verify at the official NPI Registry.