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General NPI Number Information
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NPI Number | 1013705243
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Entity Type | Organization
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Legal Business Name | ARKANSAS VALLEY REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1100 CARSON AVE STE 201
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City | LA JUNTA
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State | CO
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Zip | 81050-2748
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Country | US
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Telephone | 719-383-5925
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Fax | 719-383-5928
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Provider Business Mailing Address
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Address Line | 1100 CARSON AVE
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City | LA JUNTA
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State | CO
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Zip | 81050-2751
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Country | US
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Telephone | 719-383-5925
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Fax | 719-383-5928
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | AARON BRENT CROWELL
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Credential |
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Telephone | 719-383-6390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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