| Organization Name: | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| NPI Number: | 1942511019 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY GARVIN (CCH CEO) |
| Mailing Address: | 509 Main Street La Jara |
| State: | CO US |
| Postal Code: | 81140 |
| Phone Number: | 7192745000 |
| Fax Number: | 7192744111 |
| NPI Enumeration Date: | 06/23/2010 |
| NPI Last Update Date: | 08/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 011020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |