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General NPI Number Information
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NPI Number | 1811795628
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Entity Type | Organization
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Legal Business Name | VALLEY-WIDE HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 755 2ND ST
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City | SANFORD
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State | CO
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Zip | 81151-5095
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Country | US
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Telephone | 719-587-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 128 MARKET ST
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City | ALAMOSA
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State | CO
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Zip | 81101-2290
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Country | US
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Telephone | 719-587-1001
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Fax | 719-589-5722
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Authorized Official
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Title or Position | CFO
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Name | JAVIER MARTINEZ
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Credential |
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Telephone | 719-587-1083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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