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Organization

VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC

Active
Other names
Monte Vista Medical Clinic of Rio Grande Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
ARLENE HARMS (CEO)
(719) 657-4104
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
251011
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061301
MEDICARE PART A
CO
05
90871022
CO
Enumeration date
02/15/2016
Last updated
04/05/2023
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