Organization · Type 2 NPI

Lutheran Hospital Association of the San Luis Valley

Rural Health Clinic/Center · La Jara, CO

NPI number 1942511019 Active

Practice location

509 Main Street
La Jara, CO 81140

Call (719) 274-5000 Map

Fax (719) 274-4111

Mailing address

19021 US Highway 285
La Jara, CO 81140-9410

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	011020 (CO)

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

Conejos County Hospital CorporationFamily Medicine Physician La Jara, CO NPI 1376504092
Brian Gene Jackson, PACPhysician Assistant La Jara, CO NPI 1245261064
Kalee Ann Chavez-Miller, NPNurse Practitioner La Jara, CO NPI 1013350149

NPI record

NPI: 1942511019
Entity type: Organization (Type 2)
Issued: Jun 23, 2010
Last updated: Aug 6, 2013
Status: Active
Subpart: Yes of Lutheran Hospital Association of the San Luis Valley

Other names

<unavail>
SLV Health la Jara Clinic · doing business as

Authorized official

Mr. Henry Garvin
CCH CEO
(719) 274-6004

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 1942511019

Lutheran Hospital Association of the San Luis Valley's National Provider Identifier is 1942511019, issued on Jun 23, 2010. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in La Jara, CO. The record was last updated on Aug 6, 2013.