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General NPI Number Information
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NPI Number | 1073961413
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Entity Type | Organization
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Legal Business Name | ARKANSAS VALLEY REGIONAL MEDICAL CENTER SWING BED
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 10/28/2025
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Provider Practice Location 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 | 719-384-5412
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Fax | 719-383-6005
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Provider Business Mailing Address
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Address Line | 1100 CARSON AVENUE
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City | LA JUNTA
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State | CO
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Zip | 81050
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Country | US
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Telephone | 719-384-5412
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Fax | 719-383-6005
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Authorized Official
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Title or Position | CNO
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Name | HEIDI J GEARHART
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Credential | MSN, RN
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Telephone | 719-384-5412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 010210
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License Number State | CO
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