# LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
- **Other names:** San Luis Valley Health RMC Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720269434
- **Legal business name:** LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
- **Authorized official:** MRS. KONNIE MARTIN (CEO)
- **Authorized official phone:** (719) 587-1206

## Contact information

- **Practice address:** 106 BLANCA AVE, ALAMOSA, CO 81101-2340
- **Practice address phone:** (719) 589-3000
- **Practice address fax:** (719) 587-1372
- **Mailing address:** 106 BLANCA AVE, ALAMOSA, CO 81101-2340
- **Mailing address phone:** (719) 589-3000
- **Mailing address fax:** (719) 587-1372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208000000X | Pediatrics Physician | 011001 | CO | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 07/01/2013