Organization
VALLEY-WIDE HEALTH SYSTEMS, INC
Active
Organization
VALLEY-WIDE HEALTH SYSTEMS, INC
Active
Other names
Alamosa Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANIA ARNOLDI (PRESIDENT/CEO)
(719) 589-5161
Entity
Organization
Contact information
Practice address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-9691
(719) 587-9148
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(195) 871-0017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15085031
—
CO
01
—
80030
DELTA DENTAL
CO
Enumeration date
10/04/2005
Last updated
05/10/2024
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