Lutheran Hospital Association of the San Luis Valley

NPI #1184866410 in Monte Vista, Colorado

Provider Information

NPI Number: 1184866410
Entity Type: Organization
Organization Name: Lutheran Hospital Association of the San Luis Valley
Subpart: Yes (part of a larger organization)
Parent Organization: SLV REGIONAL MEDICAL CENTER
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 1, 2009
Last Updated: Apr 1, 2009

Practice Location

Address: 103 CHICO CT
Address 2: SUITE B
City: Monte Vista
State: Colorado
ZIP Code: 81144-1065
Phone: (719) 852-7240

Authorized Official

Name: MR. RUSSELL W JOHNSON, CEO
Title: CHIEF EXECUTIVE OFFICER
Phone: (719) 587-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Surgery	208600000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Orthopaedic Surgery	207X00000X	Primary

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