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Contact Information

ARKANSAS VALLEY FAMILY PRACTICE, LLC
2317 SAN JUAN AVE.
LA JUNTA, CO81050
 Phone: 719-383-2325
 Fax: 719-383-2327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ARKANSAS VALLEY FAMILY PRACTICE, LLC

NPI # 1497938351
LBN Legal business name ARKANSAS VALLEY FAMILY PRACTICE, LLC
Authorized official RICHARD BOOK - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2007
Last updated 11/10/2020 - About 6 years ago
Identifiers
CO Medicaid 31830030
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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