Eddie M Henderson (NPI# 1801971676, PAC ID# 9032109236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801971676 |
| PAC ID by PECOS | 9032109236 |
| Professional Enrollment ID | I20190313000302 |
| Full Name | Eddie M Henderson |
| Organization Legal Name | VALLEY-WIDE HEALTH SYSTEMS, INC |
| Address |
128 Market St Alamosa CO 81101-2290 |
| Phone Number | 7195895161 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5991609067 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061308 | SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL |
| 060008 | SAN LUIS VALLEY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 128 Market St, Alamosa, CO 81101-2290 | 7195895161 | VALLEY-WIDE HEALTH SYSTEMS, INC |
| Organization Legal Name | VALLEY-WIDE HEALTH SYSTEMS, INC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla Beswick | Nurse Practitioner | Valley-wide Health Systems, Inc | 245 Vine Ave, Las Animas, CO 81054-1039 |
| Paula A Jiron-finn | Nurse Practitioner | Valley-wide Health Systems, Inc | 903 S 12th St, Rocky Ford, CO 81067-2127 |
| Terri Bowland | Family Medicine | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Norman Macleod | Family Medicine | Valley-wide Health Systems, Inc | 602 Yale Pl, Canon City, CO 81212-4611 |
| Kristina A Steinberg | Family Medicine | Valley-wide Health Systems, Inc | 1710 1st St, Alamosa, CO 81101-2302 |
| Laura R Buckley | Family Medicine | Valley-wide Health Systems, Inc | 1131 Main St, Alamosa, CO 81101-2446 |
| Jeffrey A Perry | Family Medicine | Valley-wide Health Systems, Inc | 1012 Belmont Ave, La Junta, CO 81050-2101 |
| Jason Defee | Orthopedic Surgery | Valley-wide Health Systems, Inc | 106 Blanca Ave, Suite 300, Alamosa, CO 81101-2340 |
| Dean C Dischler | Family Medicine | Valley-wide Health Systems, Inc | 1012 Belmont Ave, La Junta, CO 81050-2101 |
| Allison Peddle | Emergency Medicine | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Street Address |
128 MARKET ST |
| City | ALAMOSA |
| State | CO |
| Zip | 81101-2290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Bowland | Family Medicine | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Allison Peddle | Emergency Medicine | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Joseph C Quintana | Family Medicine | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Louise Middaugh | Physician Assistant | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Luis F Hernandez | Physician Assistant | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Steven F Gallegos | Nurse Practitioner | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Edward A Medina | Physician Assistant | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Michael J Noonan | Physician Assistant | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Megan Voss | Physician Assistant | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Emelin Martinez | Nurse Practitioner | Valley-wide Health Systems, Inc | 128 Market St, Alamosa, CO 81101-2290 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Watson | Optometry | 3333 Clark St, Alamosa, CO 81101-2050 | |
| Sarah Lynn Lewing | Obstetrics/gynecology | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Sarah Marie Mcalpine | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Thomas Scott Jenks | Certified Registered Nurse Anesthetist (crna) | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mikaila Heldt Pence | Pediatric Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mallori Gariner | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| David N Geiger | General Surgery | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Laura Burkhardt | Clinical Social Worker | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Jeffrey Oster | Podiatry | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Katherine Odonnell | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Find all physicians in zip 81101 | |||
| City | ALAMOSA |
| Zip Code | 81101 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALAMOSA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Eddie M Henderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.