Slv Health Antonito Clinic

LBN: Lutheran Hospital Association Of The San Luis Valley
Slv Health Antonito Clinic is an health care organization with primary practice located at 115 Main Street , Antonito CO 81120-0087. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Lutheran Hospital Association Of The San Luis Valley can be contacted via phone (719) 376-2308, or through Martin, Konnie L. via phone (719) 587-1206.

Contact Information

Primary practice address
115 Main Street Antonito CO 81120-0087
Phone: (719) 376-2308
Fax: (719) 376-2395
Website:
Map and Directions
Authorized official contact:
Name: Martin, Konnie L.
Phone: (719) 587-1206

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1821057860
LBN Legal business name Lutheran Hospital Association Of The San Luis Valley
DBA Doing business as Slv Health Antonito Clinic
Authorized official Martin, Konnie L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 20th, 2006
Last updated Nov 24th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821057860 NPPES
Colorado MEDICAID 93388560

Popular Providers