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LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY NPI 1083012504


NPI Information

NPI: 1083012504
Provider Name: LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

Doing Business As: SAN LUIS VALLEYHEALTH MONTE VISTA COMMUNITY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
103 CHICO CT
MONTE VISTA, CO
ZIP 81144
Phone: (719) 852-9400
Get Directions

LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY is a family medicine in Monte Vista, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY NPI is 1083012504. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Luis Valleyhealth Monte Vista Community Clinic.

The provider's business location address is:

103 CHICO CT
MONTE VISTA, CO
ZIP 81144-065
Phone: (719) 852-9400
Fax: (719) 852-9311

The provider's authorized official is Konni Martin .
The authorized official title is Ceo and has the following contact phone number (719) 587-1206.

The enumeration date for this NPI number is 12/16/2014 and was last updated on 5/26/2023.


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
22084P0800XPsychiatry & NeurologyPsychiatry011001COLORADONo
3363A00000XPhysician Assistant011001COLORADONo
4207Q00000XFamily Medicine011001COLORADOYes

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
19000144694MEDICAIDCOLORADO

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: 4/28/2024

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