| Organization Name: | VALLEY-WIDE HEALTH SYSTEMS, INC |
| NPI Number: | 1396734893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANNE DARRICADES (PRESIDENT/CEO) |
| Mailing Address: | Unit 1 B At 233 Main Street Suite 2 San Luis |
| State: | CO US |
| Postal Code: | 811520328 |
| Phone Number: | 7196723352 |
| Fax Number: | 7196723638 |
| NPI Enumeration Date: | 10/18/2005 |
| 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: | |