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LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY NPI 1063690600


NPI Information

NPI: 1063690600
Provider Name: LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

Doing Business As: SLV REGIONAL MEDICAL CENTER

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
19021 HIGHWAY 285
LA JARA, CO
ZIP 81140
Phone: (719) 274-6000
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LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY is an orthopaedic surgery in La Jara, 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 1063690600. 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.

The provider's business location address is:

19021 HIGHWAY 285
LA JARA, CO
ZIP 81140
Phone: (719) 274-6000
Fax: (719) 587-1372

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) 589-2511.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.


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
1207V00000XObstetrics & GynecologyNo
2208600000XSurgeryNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5207X00000XOrthopaedic 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
2C546498MEDICARE PINCOLORADO

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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