Organization
ARKANSAS VALLEY REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI J GEARHART MSN, RN (CNO)
(719) 384-5412
Entity
Organization
Contact information
Practice address
1100 CARSON AVE, LA JUNTA, CO 81050-2751
(719) 384-5412
(719) 383-6005
Mailing address
1100 CARSON AVE, LA JUNTA, CO 81050-2751
(719) 384-5412
(719) 383-6005
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
16595
CO
282NC0060X
Critical Access Hospital
Primary
010210
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05-021001
—
CO
Enumeration date
07/07/2005
Last updated
10/28/2025
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