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Contact Information

LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
19021 HIGHWAY 285
LA JARA, CO81140
 Phone: 719-274-6000
 Fax: 719-587-1372
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

NPI # 1063690600
LBN Legal business name LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Authorized official RUSSELL JOHNSON - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2008
Last updated 02/06/2008 - About 18 years ago
Identifiers
CO Medicaid 68085770
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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