Organization · Type 2 NPI

Lutheran Hospital Association of the San Luis Valley

Family Medicine Physician · Monte Vista, CO

NPI number 1083012504 Active

Practice location

103 Chico Ct
Monte Vista, CO 81144-1065

Call (719) 852-9400 Map

Fax (719) 852-9311

Mailing address

106 Blanca Ave
Alamosa, CO 81101-2340

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	011001 (CO)
Family Medicine Physician Primary	207Q00000X	011001 (CO)
Psychiatry Physician	2084P0800X	011001 (CO)
Physician Assistant	363A00000X	011001 (CO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

Other family medicine physician providers in Monte Vista

Monte Vista Family PracticeFamily Medicine Physician Monte Vista, CO NPI 1417935438

See all in Monte Vista →

NPI record

NPI: 1083012504
Entity type: Organization (Type 2)
Issued: Dec 16, 2014
Last updated: May 26, 2023
Status: Active

Other names

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San Luis Valleyhealth Monte Vista Community Clinic · doing business as
San Luis Valleyhealth Monte Vista Community Clinic · doing business as

Authorized official

Konni Martin
CEO
(719) 587-1206

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083012504

Lutheran Hospital Association of the San Luis Valley's National Provider Identifier is 1083012504, issued on Dec 16, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Monte Vista, CO. The record was last updated on May 26, 2023.