| Organization Name: | ARKANSAS VALLEY REGIONAL MEDICAL CENTER |
| NPI Number: | 1649449075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANETTE M INGLAND (OFFICE MANAGER) |
| Mailing Address: | 1100 Carson Ave La Junta |
| State: | CO US |
| Postal Code: | 810502751 |
| Phone Number: | 7193835189 |
| Fax Number: | 7193836566 |
| NPI Enumeration Date: | 02/29/2008 |
| NPI Last Update Date: | 04/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |