| Organization Name: | VALLEY WIDE HEALTH SYSTEMS,INC |
| NPI Number: | 1154377356 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANNE DARRICADES (PRESIDENT/CEO) |
| Mailing Address: | 106 Blanca Ave Suite 300 Alamosa |
| State: | CO US |
| Postal Code: | 811012340 |
| Phone Number: | 7195893658 |
| Fax Number: | 7195890997 |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |