LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY (NPI# 1801280813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801280813 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Other Organization Name | SAN LUIS VALLEY HEALTH REGIONAL MEDICAL CENTER |
| Practice Address |
106 Blanca Ave Alamosa CO 81101-2340 |
| Practice Telephone | 7195893000 |
| Practice Fax Number | 7195876374 |
| Mailing Telephone | 7195893000 |
| Mailing Fax Number | 7195876374 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | KONNIE MARTIN (CEO) |
| Authorized Official Telephone | 7195871206 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | RN.0198574 | CO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| San Luis Valley Health Regional Medical Center | 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 |
| 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 |
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 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922304195 | Mugabe Walker | Internal Medicine | 2312 Carroll St, Alamosa, CO 81101-2007 | 2011-02-04 |
| 1023140175 | Betsy L Thompson | Internal Medicine | 700 Main St Ste 100, Alamosa, CO 81101-2527 | 2007-03-12 |
| 1770718512 | Michael Patrick Borbely | Internal Medicine | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2009-05-22 |
| 1831386036 | Benedict Gbolabo Famori | Internal Medicine | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2007-10-02 |
| 1780870063 | Olivier Jean De Raet | Internal Medicine | 106 Blanca Ave., San Luis Valley Regional Medical Center, Alamosa, CO 81101 | 2007-09-19 |
| 1588774269 | Althea C M Sobel | Internal Medicine | 2115 Stuart Ave, Alamosa, CO 81101-2269 | 2006-08-30 |
| 1780645754 | Robert Rice | Internal Medicine | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2006-03-30 |
| 1508843962 | Robert A Linden | Internal Medicine | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2005-12-28 |
| 1275517815 | Linda Davis Mawhorter | Internal Medicine | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2005-12-06 |
| 1942290218 | William Brinton | Internal Medicine | 106 Blanca Ave, Alamosa, CO 81101-2340 | 2005-10-26 |
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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.