# VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monte Vista Medical Clinic of Rio Grande Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265891667
- **Authorized official:** ARLENE HARMS (CEO)
- **Authorized official phone:** (719) 657-4104

## Contact information

- **Practice address:** 1033 2ND AVE, MONTE VISTA, CO 81144-1737
- **Practice address phone:** (719) 852-8827
- **Practice address fax:** (719) 852-2739
- **Mailing address:** 310 COUNTY ROAD 14, DEL NORTE, CO 81132-8719
- **Mailing address phone:** (719) 657-2510
- **Mailing address fax:** (719) 657-4106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 251011 | CO | Yes |

## Other

- **Enumeration date:** 02/15/2016
- **Last updated:** 04/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 061301 | MEDICARE PART A | CO |
| 05 | — | 90871022 | — | CO |