NPIMap

Organization Active NPI

Valley Citizens' Foundation for Health Care Inc

Doing business as Creede Family Practice of Rio Grande Hospital

  • Critical Access Hospital Clinic/Center
  • Creede, CO
National Provider Identifier
1851882989
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
Legal business name
VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC
Doing business as
Creede Family Practice of Rio Grande Hospital
Practice address
802 Rio Grande
Creede, CO 81130-5144
Phone
(719) 658-0929
Fax
(719) 658-2830
NPI assigned
May 24, 2018
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Jenny M Gallegos
Title
Administrative Secretary/Credentiai
Phone
(719) 850-4948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X Primary

Addresses

Primary practice location

802 Rio Grande
Creede, CO 81130-5144

Mailing address

310 County Road 14
Del Norte, CO 81132-8719
Phone (719) 657-2510

Other identifiers 1

IdentifierTypeStateIssuer
9000145552MedicaidCO

Other names 1

  • Creede Family Practice of Rio Grande Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

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
O20071219000231 CO Part A Provider - Critical Access Hospital 7517951536 Receives reassigned benefits from 38 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Creede, CO; Del Norte, CO; South Fork, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851882989. Details of each certification follow.

Hospital certification: CCN 061301

Legal name
VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC
Doing business as
RIO GRANDE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 1998
Last certification
Jan 29, 2024
Beds
17
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 12, 1994 in CO
Enrollment address
310 County Road 14
Del Norte, CO 81132-8719
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Rio Grande HospitalCCN 061301 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Vly Citizens' FNDT Hlthcare

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Thomas Haefeli Individual Corporate Director Sep 1, 2022
Gregory Porter Individual Corporate Director Aug 7, 2007
W-2 Managing Employee Aug 7, 2007
Emily Brown Individual Corporate DirectorVice Chairman/Sec Oct 1, 2021
Gail Mattive Individual Corporate DirectorBoard Member Sep 1, 2022
Julie Sauvigne Individual Corporate Director Oct 1, 2022
Leah Weyers Individual Corporate Director Oct 1, 2020
Tyler C. Off Individual Corporate Director Feb 1, 2021
Arlene Harms Individual Corporate Director May 7, 2007
W-2 Managing Employee May 7, 2007
Mary Kazie Deacon Individual Corporate Director Oct 1, 2021
Sharon Nash Individual Corporate DirectorBoard Member Oct 1, 2016
Tyler Hathorn Individual Corporate Director May 1, 2022
Erin Starr Pearson Individual Corporate Director Sep 1, 2022

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 95

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1851882989",
    "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": "719-657-2510",
            "fax_number": "719-657-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 RIO GRANDE",
            "city": "CREEDE",
            "state": "CO",
            "postal_code": "811305144",
            "telephone_number": "719-658-0929",
            "fax_number": "719-658-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC",
        "enumeration_date": "2018-05-24",
        "last_updated": "2025-09-12",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY/CREDENTIAI",
        "authorized_official_telephone_number": "719-850-4948"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000145552",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creede Family Practice of Rio Grande Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creede Family Practice of Rio Grande Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creede, CO

Sources for this page

Verify at the official NPI Registry.