| Organization Name: | VALLEY-WIDE HEALTH SYSTEMS, INC |
| NPI Number: | 1225025703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANNE DARRICADES (PRESIDENT/CEO) |
| Mailing Address: | 1012 Belmont Avenue La Junta |
| State: | CO US |
| Postal Code: | 810508105 |
| Phone Number: | 7193835900 |
| Fax Number: | 7193836533 |
| NPI Enumeration Date: | 09/30/2005 |
| NPI Last Update Date: | 02/20/2013 |
| 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: | |