Covered Entity Details

CH080030 VALLEY-WIDE HEALTH SYSTEMS, INC. (Active)

Main Details

Name

VALLEY-WIDE HEALTH SYSTEMS, INC.

Subdivision Name

Alamosa Family Medical Center, Valley Wide Pharmacy, or Anti-Coagulation Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-001418

340B ID

CH080030

Grant Number

H80CS00134

Additional Details

Current Program Status

Active

Registration Date

12/1/1992

Participating Start Date

12/1/1992

Participating Approval Date

5/13/2005

Last Recertification Date

2/12/2025

Contacts

Authorizing Official

Valley-Wide Health Systems
Jania Arnoldi, President/CEO
(719) 587-1000

Primary Contact

Valley-Wide Health Systems, Inc.
Justin Hanel, Director of Pharmacy
(719) 589-3633

Addresses

Street Address

1710 1st St
Alamosa, CO 81101

Billing Address

Valley-Wide Health Systems, Inc.
128 Market St
Alamosa, CO 81101

Comment	Last Updated On
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1 Item 1 to 3 of 3 Page: of 1 Page size:
3/30/12-Revised Medicaid # (was 05638200); 7/14/10 ADDED SECOND SHIP TO; 2/13/09 UPDATED SHIP TO(WAS 1610 2ND STREET); 2/13/09 UPDATED ADDR(WAS 128 MARKET STREET); 3/29/06 ADDED SHIP TO; 5/6/05 UPDATED ADDR (WAS 204 CARSON AVENUE) ALSO PHARMACY WAS AT 1847 2ND STREET; 2/26/07 UPDATED ENTITY NAME (WAS VALLEY WIDE HEALTH SERVICES)	03/30/2012
3/30/12-Revised Medicaid #; 7/14/10 ADDED SECOND SHIP TO; 2/13/09 UPDATED SHIP TO(WAS 1610 2ND STREET); 2/13/09 UPDATED ADDR(WAS 128 MARKET STREET); 3/29/06 ADDED SHIP TO; 5/6/05 UPDATED ADDR (WAS 204 CARSON AVENUE) ALSO PHARMACY WAS AT 1847 2ND STREET; 2/26/07 UPDATED ENTITY NAME (WAS VALLEY WIDE HEALTH SERVICES)	03/30/2012
7/14/10 ADDED SECOND SHIP TO; 2/13/09 UPDATED SHIP TO(WAS 1610 2ND STREET); 2/13/09 UPDATED ADDR(WAS 128 MARKET STREET); 3/29/06 ADDED SHIP TO; 5/6/05 UPDATED ADDR (WAS 204 CARSON AVENUE) ALSO PHARMACY WAS AT 1847 2ND STREET; 2/26/07 UPDATED ENTITY NAME (WAS VALLEY WIDE HEALTH SERVICES)	07/14/2010

340B Drug Pricing Program Database