Organization
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Active
Other names
San Luis Valley Health Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KONNIE MARTIN CEO (CEO)
(719) 587-1206
Entity
Organization
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-3000
(719) 587-6374
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-3000
(719) 587-6374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RN.0198574
CO
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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