| NPI | 1215383500 |
|---|---|
| Doing Business As | VALLEY-WIDE CANON CITY |
| Entity Type | Organization |
| Authorized Contact | JANIA ARNOLDI President/CEO 719-589-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-04-30 |