Organization
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Active
Parent organization
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Other names
SLV Health La Jara Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Authorized official
MR. HENRY GARVIN (CCH CEO)
(719) 274-6004
Entity
Organization
Contact information
Practice address
509 MAIN STREET, LA JARA, CO 81140
(719) 274-5000
(719) 274-4111
Mailing address
19021 US HIGHWAY 285, LA JARA, CO 81140-9410
(719) 274-5000
(719) 274-4111
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
011020
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376504092
PREVIOUS NPI NUMBER
CO
05
—
55601359
—
CO
Enumeration date
06/23/2010
Last updated
08/06/2013
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