NPIMap

Organization Active NPI

Valley-Wide Health Systems, Inc.

Doing business as Valley-Wide Buena Vista

  • Federally Qualified Health Center (FQHC)
  • Buena Vista, CO
National Provider Identifier
1972111953
Registry record updated May 13, 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.
Doing business as
Valley-Wide Buena Vista
Practice address
707 US Highway 24 N
Buena Vista, CO 81211-9863
Phone
(719) 395-8610
Fax
(719) 395-5745
NPI assigned
Jul 16, 2020
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Jania Arnoldi
Title
Presidnet/Ceo
Phone
(719) 589-5161

Specialties & licenses 2

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

Addresses

Primary practice location

707 US Highway 24 N
Buena Vista, CO 81211-9863

Mailing address

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

Other names 1

  • Valley-Wide Buena Vista Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200901000863 CO Part A Provider - Federally Qualified Health Center (FQHC) 5991609067 1 other NPI on this enrollment
Practice locations: Buena Vista, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972111953. Details of each certification follow.

Federally qualified health center certification: CCN 061017

Legal name
VALLEY-WIDE HEALTH SYSTEMS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 31, 2020
Last certification
Aug 31, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 17, 1977 in CO
Enrollment address
707 US Hwy 24 North
Buena Vista, CO 81211-9863

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Valley-Wide Health Systems Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

1012 Belmont Ave
La Junta, CO 81050
Phone (719) 383-5500

Ownership & related parties

All disclosed owners & managing parties 2

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 Corporate OfficerChief Financial Officer Mar 18, 2018
W-2 Managing EmployeeChief Financial Officer Mar 18, 2018
Jania Arnoldi Individual Corporate DirectorCeo/President Mar 1, 2018
W-2 Managing EmployeeCeo/President Mar 1, 2018

All facility ownership & control disclosures 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1972111953",
    "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": "707 US HIGHWAY 24 N",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812119863",
            "telephone_number": "719-395-8610",
            "fax_number": "719-395-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY-WIDE HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "ARNOLDI",
        "authorized_official_first_name": "JANIA",
        "authorized_official_title_or_position": "PRESIDNET/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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley-Wide Buena Vista",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley-Wide Buena Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Vista, CO

Sources for this page

Verify at the official NPI Registry.