Organization
ARKANSAS VALLEY REGIONAL MEDICAL CENTER
Active
Other names
Arkansas Valley Regional Medical Center Physicians Clinic, AVRMC Physicians Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BRENT CROWELL (PHYSICIAN CLINIC DIRECTOR)
(719) 383-6390
Entity
Organization
Contact information
Practice address
1100 CARSON, LA JUNTA, CO 81050-2751
(719) 383-6390
(719) 383-5140
Mailing address
1100 CARSON, LA JUNTA, CO 81050-2751
(719) 383-6390
(719) 383-5140
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04102042
—
CO
05
—
24982571
—
CO
01
—
AR240008
BLUE CROSS
CO
01
—
CJ5303
RAILROAD MEDICARE
CO
Enumeration date
02/29/2008
Last updated
02/22/2021
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