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LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY NPI 1720269434


NPI Information

NPI: 1720269434
Provider Name: LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

Doing Business As: SAN LUIS VALLEY HEALTH RMC CLINIC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
106 BLANCA AVE
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-3000
Get Directions

LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY is an obstetrics gynecology in Alamosa, CO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY NPI is 1720269434. 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 Rmc Clinic.

The provider's business location address is:

106 BLANCA AVE
ALAMOSA, CO
ZIP 81101-340
Phone: (719) 589-3000
Fax: (719) 587-1372

The provider's authorized official is Konnie 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 11/21/2007 and was last updated on 7/1/2013.


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
1208600000XSurgeryNo
2208M00000XHospitalistNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5367A00000XAdvanced Practice MidwifeNo
6207Y00000XOtolaryngologyNo
7208000000XPediatrics011001COLORADONo
8207V00000XObstetrics & GynecologyYes

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
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: 4/28/2024

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