LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY (NPI# 1821057860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821057860 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Other Organization Name | SLV HEALTH ANTONITO CLINIC |
| Practice Address |
115 Main Street Antonito CO 81120-0087 |
| Mailing Address |
19021 Us Highway 285 La Jara CO 81140 |
| Practice Telephone | 7193762308 |
| Practice Fax Number | 7193762395 |
| Mailing Telephone | 7192745121 |
| Mailing Fax Number | 7192746003 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | HENRY L. GARVIN (CCH CEO) |
| Authorized Official Telephone | 7192746004 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 72081228 | 05 |
| Other Name | Type Code |
|---|---|
| SLV Health Antonito Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254793 | Lutheran Hospital Association of The San Luis Valley | General Acute Care Hospital | 37 Adams Street, Monte Vista, CO 81144-1438 | 2019-09-13 |
| 1063690600 | Lutheran Hospital Association of The San Luis Valley | Obstetrics & Gynecology | 19021 Highway 285, La Jara, CO 81140 | 2008-02-06 |
| 1801280813 | Lutheran Hospital Association of The San Luis Valley | Internal Medicine | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2015-03-27 |
| 1083012504 | Lutheran Hospital Association of The San Luis Valley | Chiropractor | 103 Chico Ct, Monte Vista, CO 81144-1065 | 2014-12-16 |
| 1942511019 | Lutheran Hospital Association of The San Luis Valley | Clinic/Center | 509 Main Street, La Jara, CO 81140 | 2010-06-23 |
| 1609003250 | Lutheran Hospital Association of The San Luis Valley | Medicare Defined Swing Bed Unit | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2009-06-22 |
| 1184866410 | Lutheran Hospital Association of The San Luis Valley | Chiropractor | 103 Chico Ct, Suite B, Monte Vista, CO 81144-1065 | 2009-04-01 |
| 1851579262 | Lutheran Hospital Association of The San Luis Valley | Obstetrics & Gynecology | 310 County Road 14, Del Norte, CO 81132-8719 | 2008-02-07 |
| 1073791125 | Lutheran Hospital Association of The San Luis Valley | Obstetrics & Gynecology | 1280 Grand Ave, Del Norte, CO 81132-3220 | 2008-01-31 |
| 1720269434 | Lutheran Hospital Association of The San Luis Valley | Surgery | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2007-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY | 106 Blanca Ave, Alamosa, CO 81101 |
| Street Address |
115 MAIN STREET |
| City | ANTONITO |
| State | CO |
| Zip Code | 81120-0087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836380 | San Luis Valley Community Mental Health Center | Clinic/Center | 915 Dahlia, Antonito, CO 81120 | 2020-06-23 |
| 1295973493 | Antonito Pharmacy LLC | Pharmacy | 402 Main, Antonito, CO 81120 | 2009-01-26 |
| 1447401963 | Bryan Andre Sandoval | Pharmacist | 327 Main, Antonito, CO 81120 | 2008-10-02 |
| 1841446440 | Eugene W Christensen | Dentist | 985 Dahlia & West 10th Ave., Antonito, CO 81120 | 2008-08-14 |
| 1770573339 | Ted L Morrison | Physician Assistant | Dahlia & 10th, Antonito, CO 81120 | 2005-10-25 |
| 1508853813 | Valley-wide Health Systems, Inc | Clinic/Center | 10th and Dahlia, Antonito, CO 81120 | 2005-10-03 |
| 1689288961 | San Luis Valley Community Mental Health Center | Clinic/Center | 915 Dahlia, Antonito, CO 81120 | 2020-09-03 |
| 1114363934 | Valley-wide Health Systems, Inc. | Clinic/Center | 10th and Dahlia, Antonito, CO 81120 | 2013-05-20 |
| 1952431694 | Peoples Drug Store | Pharmacy | 327 Main St, Antonito, CO 81120 | 2007-03-06 |
| 1750340832 | Conejos County Hospital Corporation | Clinic/Center | 315 Main Street, Antonito, CO 81120 | 2006-03-20 |
| Find all providers in zip 81120 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340832 | Conejos County Hospital Corporation | Clinic/Center | 315 Main Street, Antonito, CO 81120 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023663879 | Salida Hospital District | Clinic/Center | 550 W Us Highway 50, Salida, CO 81201-2238 | 2019-08-08 |
| 1356995237 | Salida Hospital District | Clinic/Center | 405 Denver Avenue, Saguache, CO 81149 | 2019-07-29 |
| 1497279236 | Southwest Health System, Inc. | Clinic/Center | 601 Central Ave, Dolores, CO 81323 | 2017-08-02 |
| 1144777566 | Valley Citizens' Foundation for Health Care, Inc. | Clinic/Center | 1033 2nd Avenue, Monte Vista, CO 81144-1737 | 2016-09-01 |
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1457749608 | Keefe Memorial Health Service District | Clinic/Center | 102 E 2nd Avenue, Kit Carson, CO 80825 | 2014-12-22 |
| 1396143574 | Keefe Memorial Health Service District | Clinic/Center | 615 West 5th North, Cheyenne Wells, CO 80810 | 2014-12-19 |
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1366709263 | Dolores Medical Center | Clinic/Center | 507 Central Avenue, Dolores, CO 81323 | 2012-04-16 |
| 1528381928 | Valley Citizens' Foundation for Healthcare, Inc | Clinic/Center | 802 Rio Grande Avenue, Creede, CO 81130-0755 | 2010-03-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.