Healthcare Provider Details

I. General information

NPI: 1720181225
Provider Name (Legal Business Name): VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 COUNTY ROAD 14
DEL NORTE CO
81132-8719
US

IV. Provider business mailing address

310 COUNTY ROAD 14
DEL NORTE CO
81132-8719
US

V. Phone/Fax

Practice location:
  • Phone: 719-657-2510
  • Fax: 719-657-4106
Mailing address:
  • Phone: 719-657-2510
  • Fax: 719-657-4106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number06Z301
License Number StateCO

VIII. Authorized Official

Name: MRS. ARLENE HARMS
Title or Position: CEO
Credential:
Phone: 719-657-2510