NPI | 1972111953 |
---|---|
Doing Business As | VALLEY-WIDE BUENA VISTA |
Entity Type | Organization |
Authorized Contact | JANIA ARNOLDI Presidnet/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 | 2020-07-16 |
Last Update Date | 2024-05-13 |