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LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY NPI 1184866410


NPI Information

NPI: 1184866410
Provider Name: LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

Doing Business As: SLV REGIONAL MEDICAL CENTER PHYSICIAN SERVICES

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
103 CHICO CT
SUITE B
MONTE VISTA, CO
ZIP 81144
Phone: (719) 852-7240
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LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY is an orthopaedic surgery in Monte Vista, CO. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY NPI is 1184866410. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Slv Regional Medical Center Physician Services.

The provider's business location address is:

103 CHICO CT
SUITE B
MONTE VISTA, CO
ZIP 81144-065
Phone: (719) 852-7240
Fax: (719) 852-0332

The provider's authorized official is Russell W Johnson .
The authorized official title is Chief Executive Officer and has the following contact phone number (719) 587-1200.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6208600000XSurgeryNo
7363A00000XPhysician AssistantNo
8363L00000XNurse PractitionerNo
9207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
168085770MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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