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LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY NPI 1972556744


NPI Information

NPI: 1972556744
Provider Name: LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

Doing Business As: SAN LUIS VALLEY HEALTH STUART AVENUE CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2115 STUART AVE
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-3000
Get Directions

LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY is an internal medicine in Alamosa, CO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY NPI is 1972556744. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Luis Valley Health Stuart Avenue Clinic.

The provider's business location address is:

2115 STUART AVE
ALAMOSA, CO
ZIP 81101-269
Phone: (719) 589-3000
Fax: (719) 587-1372

The provider's authorized official is Konnie Martin .
The authorized official title is C.e.o. and has the following contact phone number (719) 587-1206.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 11/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor011001COLORADONo
2207Q00000XFamily MedicineNo
3207R00000XInternal Medicine011001COLORADOYes
4207X00000XOrthopaedic SurgeryNo
5208100000XPhysical Medicine & RehabilitationNo
62083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8363A00000XPhysician AssistantNo
9363L00000XNurse PractitionerNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111777869MEDICAIDCOLORADO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.