ARKANSAS VALLEY REGIONAL MEDICAL CENTER


Address: 1100 Carson Ave, La Junta, CO 81050-2751
Phone: 7193836001

ARKANSAS VALLEY REGIONAL MEDICAL CENTER (NPI# 1760489470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760489470
Entity Type Organization
Organization Name ARKANSAS VALLEY REGIONAL MEDICAL CENTER
Practice Address 1100 Carson Ave
La Junta
CO 81050-2751
Practice Telephone 7193836001
Practice Fax Number 7193836005
Mailing Telephone 7193836001
Mailing Fax Number 7193836005
Enumeration Date 2005-07-07
Last Update Date 2017-02-16
Authorized Official Name MR. FERRELL LYNN CROWELL (CEO)
Authorized Official Telephone 7193836000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
16595 CO Allopathic & Osteopathic Physicians
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
010210 CO Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
CO 05-021001 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609034206 Arkansas Valley Regional Medical Center Skilled Nursing Facility 1100 Carson Avenue, La Junta, CO 81050 2008-05-30
1649449075 Arkansas Valley Regional Medical Center General Practice 1100 Carson, La Junta, CO 81050-2751 2008-02-29
1609320514 Arkansas Valley Regional Medical Center Nurse Anesthetist, Certified Registered 1100 Carson Ave, La Junta, CO 81050-2751 2016-08-09
1669747093 Arkansas Valley Regional Medical Center Pathology 1100 Carson Ave, La Junta, CO 81050-2751 2012-03-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ARKANSAS VALLEY REGIONAL MEDICAL CENTER 1100 Carson Ave, La Junta, CO 81050-2751
Colorado Business Entities ARKANSAS VALLEY REGIONAL MEDICAL CENTER 1100 Carson Ave, La Junta, CO 81050

Office Location

Street Address 1100 CARSON AVE
City LA JUNTA
State CO
Zip Code 81050-2751

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144889916 Amy Proctor Physical Therapist 1100 Carson Ave, La Junta, CO 81050-2751 2019-06-06
1609320514 Arkansas Valley Regional Medical Center Nurse Anesthetist, Certified Registered 1100 Carson Ave, La Junta, CO 81050-2751 2016-08-09
1073961413 Arkansas Valley Regional Medical Center Swing Bed Medicare Defined Swing Bed Unit 1100 Carson Ave, La Junta, CO 81050-2751 2016-05-26
1023414810 Vickie Farnsworth Pharmacist 1100 Carson Ave, Dept of Pharmacy, La Junta, CO 81050-2751 2014-11-06
1275940496 Kellie Logue Nurse Anesthetist, Certified Registered 1100 Carson Ave, La Junta, CO 81050-2751 2014-07-21
1629320239 Michael Alvin Bergondo Social Worker 1100 Carson Ave, Suite 104, La Junta, CO 81050-2751 2012-10-05
1669747093 Arkansas Valley Regional Medical Center Pathology 1100 Carson Ave, La Junta, CO 81050-2751 2012-03-19
1720238355 Jessica Aaron Fief Physical Therapy Assistant 1100 Carson Ave, La Junta, CO 81050-2751 2008-09-18
1093964348 Crystal Rose Thomas Physical Therapist 1100 Carson Ave, La Junta, CO 81050-2751 2008-09-11
1306002910 Cyrena Kae Conlan Occupational Therapist 1100 Carson Ave, La Junta, CO 81050-2751 2008-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225658057 Poudre Valley Medical Group, LLC Internal Medicine 2315 San Juan Avenue, La Junta, CO 81050 2020-04-22
1316589567 Southeast Mental Health Services Clinic/Center 721 Barnes Ave, La Junta, CO 81050 2019-10-09
1164945127 Susan Ann Workman Clinical Nurse Specialist 13 West Third Street, Room 111, La Junta, CO 81050 2017-07-21
1952774465 Ryan T Anderson Ddc PC Clinic/Center 13 E 4th St., La Junta, CO 81050 2015-11-05
1083086524 Ryan Taylor Anderson Dentist 13 East 4th Street, La Junta, CO 81050 2015-10-23
1902287329 Shanna Kay Riley Case Manager/Care Coordinator 711 Barnes Ave., La Junta, CO 81050 2015-06-11
1548668593 Joseph Wayne Lee Licensed Practical Nurse 1203 Holt Ln, Lajunta, CO 81050 2014-12-08
1730506809 Down To Earth Dentistry, LLC. Dentist 17 W. 4th St., La Junta, CO 81050 2014-03-26
1154668275 Arkansas Valley Hearing Center, Inc Hearing Aid Equipment 408 West 3rd St, La Junta, CO 81050 2013-01-09
1710223698 Timothy Eugene Kelley Counselor 313 West Third Street, Suite 204, La Junta, CO 81050 2012-12-20
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Taxonomy Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235777889 Aspen Valley Hospital District General Acute Care Hospital 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 2019-12-13
1114565736 Aspen Valley Hospital District General Acute Care Hospital 239 Snowmass Club Circle, Pt Snowmass Club, Snowmass Village, CO 81615 2019-12-13
1144669102 Emergency Medical & Surgical Specialists of Colorado LLC General Acute Care Hospital 99 Kearney St, Denver, CO 80220-5922 2013-06-22
1790983872 Greg A Stransky General Acute Care Hospital 6365 W 45th Pl, Wheat Ridge, CO 80033-3730 2007-07-10
1366452732 County of Kiowa Hospital District General Acute Care Hospital 1208 Luther Street, Eads, CO 81036 2006-08-09
1063430346 Rangely Hospital District General Acute Care Hospital 225 Eagle Crest Dr., Rangely, CO 81648-2100 2006-07-17
1174557763 Amy Wehrman General Acute Care Hospital 19269 W 53rd Loop, Golden, CO 80403-2161 2006-07-10
1891733879 East Phillips County Hospital District General Acute Care Hospital 1001 E Johnson Street, Holyoke, CO 80734-1854 2006-06-03
1497710958 St. Vincent General Hospital District General Acute Care Hospital 822 W 4th Street, Leadville, CO 80461 2006-04-19
1407811961 St. Vincent General Hospital District General Acute Care Hospital 822 W. 4th Street, Leadville, CO 80461-3897 2006-04-19
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Competitor

Search similar providers

City LA JUNTA
Zip Code 81050

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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