Organization
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Active
Other names
SLV Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL W JOHNSON (CEO)
(719) 589-2511
Entity
Organization
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04003141
—
CO
05
—
04107041
—
CO
05
—
05008008
—
CO
05
—
06000426
—
CO
Enumeration date
10/24/2006
Last updated
11/14/2007
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