LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY (NPI# 1720269434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720269434 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Other Organization Name | SAN LUIS VALLEY HEALTH RMC CLINIC |
| Practice Address |
106 Blanca Ave Alamosa CO 81101-2340 |
| Practice Telephone | 7195893000 |
| Practice Fax Number | 7195871372 |
| Mailing Telephone | 7195893000 |
| Mailing Fax Number | 7195871372 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2013-07-01 |
| Authorized Official Name | MRS. KONNIE MARTIN (CEO) |
| Authorized Official Telephone | 7195871206 |
| 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 |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | 011001 | CO | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 68085770 | 05 |
| Other Name | Type Code |
|---|---|
| San Luis Valley Health RMC 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 |
| 1821057860 | Lutheran Hospital Association of The San Luis Valley | Clinic/Center | 115 Main Street, Antonito, CO 81120-0087 | 2006-03-20 |
| 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 |
| 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 |
106 BLANCA AVE |
| City | ALAMOSA |
| State | CO |
| Zip Code | 81101-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677718 | James Lee Grigsby | Internal Medicine | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2005-05-23 |
| 1154938322 | Innova Emergency Medical Associates PC | Emergency Medicine | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2020-09-30 |
| 1235764374 | Kelly Jean Bleakney | Registered Nurse | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2020-03-09 |
| 1457990723 | Stephanie Posorske | Advanced Practice Midwife | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2020-01-03 |
| 1962971911 | Cindylee Herrera | Counselor | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2018-11-20 |
| 1245709153 | Bethany Caton | Nurse Practitioner | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2018-11-20 |
| 1629572821 | Brendan Simenc | Physician Assistant | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2018-03-21 |
| 1437669165 | Angela Nicole Daugherty | Nurse Practitioner | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2017-10-09 |
| 1275083016 | Laura Burkhardt | Social Worker | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2016-10-05 |
| 1811446016 | Elizabeth A Cohn | Speech-Language Pathologist | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2016-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909325 | Tiffanie Nicole Hoover | Nurse Practitioner | Slv Health, 106 Blanca Ave, Alamosa, CO 81101 | 2018-04-11 |
| 1629503669 | Early Oral Health Interception LLC | Dental Hygienist | 235 Carson Avenue, Alamosa, CO 81101 | 2017-04-27 |
| 1477917391 | Mary Sawyer | Nurse Practitioner | San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 | 2016-04-06 |
| 1508221276 | Kendal W Humes | Counselor | 1460 W 8th Street, Unit 13, Alamosa, CO 81101 | 2015-12-23 |
| 1689096422 | Julia Toczek | Counselor | 8745 County Road 9s, Alamosa, CO 81101 | 2014-01-14 |
| 1275883365 | Michelle Marie Craver | Counselor | 8745 County Road 9 South, Alamosa, CO 81101 | 2012-09-15 |
| 1417193079 | Slv Eye Docs, LLC | Optometrist | 706 Del Sol Dr, Alamosa, CO 81101 | 2008-12-31 |
| 1770753154 | Huh Inc | Hearing Instrument Specialist | 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 | 2008-03-03 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1821204116 | Valerie Stephanie Gurule-duran | Counselor | 8745 Cr 9 South, Alamosa, CO 81101 | 2007-05-15 |
| Find all providers in zip 81101 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159554 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 1560 12th St Ste 7, Alamosa, CO 81101-3709 | 2019-11-20 |
| 1609197763 | Amy Robertson | Obstetrics & Gynecology | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2010-06-11 |
| 1164621801 | Bethany Lynn Kolb | Obstetrics & Gynecology | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2007-07-13 |
| 1528279064 | Jacqueline M Garrard | Obstetrics & Gynecology | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2007-05-25 |
| 1245213768 | Samuel Cole Smith | Obstetrics & Gynecology | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2005-11-29 |
| 1437154382 | Carmelo Abel Hernandez | Obstetrics & Gynecology | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099766 | Bella Natural Womens Care | Obstetrics & Gynecology | 3894 Olive St, Denver, CO 80207-1528 | 2020-09-24 |
| 1902411895 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 14000 E Arapahoe Rd Ste 390, Centennial, CO 80112-4045 | 2020-09-09 |
| 1144834011 | Scl Health Medical Group - Denver, LLC | Obstetrics & Gynecology | 1960 N Ogden St Ste 230, Denver, CO 80218-3668 | 2020-09-08 |
| 1417560574 | Scl Health Medical Group - Denver, LLC | Obstetrics & Gynecology | 300 Exempla Cir Ste 400, Lafayette, CO 80026-3396 | 2020-08-28 |
| 1871102566 | Portercare Adventist Health System | Obstetrics & Gynecology | 2356 Meadows Blvd Ste 240b, Castle Rock, CO 80109-8410 | 2020-07-28 |
| 1245858463 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 4650 W 38th Ave Ste 215, Denver, CO 80212-2161 | 2020-07-14 |
| 1386262814 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 4330 W 37th Ave, Denver, CO 80212-1927 | 2020-07-10 |
| 1528686052 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 400 Indiana St Ste 240, Golden, CO 80401-5052 | 2020-07-10 |
| 1770101214 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 6179 S Balsam Way Ste 200, Littleton, CO 80123-3093 | 2020-07-10 |
| 1508482688 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 1258 S Pearl St Ste 100, Denver, CO 80210-1538 | 2020-06-24 |
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| 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.