NPIMap

Organization Active NPI

Lutheran Hospital Association of the San Luis Valley

Doing business as San Luis Valley Health Regional Medical Center

  • General Acute Care Hospital
  • Alamosa, CO
National Provider Identifier
1235181744
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
011001 Issued in CO
Legal business name
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Doing business as
San Luis Valley Health Regional Medical Center
Practice address
106 Blanca Ave
Alamosa, CO 81101-2340
Phone
(719) 589-2511
Fax
(719) 587-1372
NPI assigned
May 16, 2006
Last updated
Jul 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Konnie Martin
Title
Ceo
Phone
(719) 587-1206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 011001 CO Primary

Addresses

Primary practice location

106 Blanca Ave
Alamosa, CO 81101-2340

Mailing address

106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511

Other names 1

  • San Luis Valley Health Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031201000318 CO Part B Supplier - Clinic/Group Practice 4789589094 Receives reassigned benefits from 230 practitioners
6 other NPIs on this enrollment
Practice locations: Alamosa, CO; Monte Vista, CO; La Jara, CO; Del Norte, CO
O20100125000758 CO Part A Provider - Hospital 4789589094 Practice locations: Alamosa, CO; Monte Vista, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235181744. Details of each certification follow.

Hospital certification: CCN 060008

Legal name
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Doing business as
SLV HEALTH REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 23, 2025
Beds
59
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 27, 1937 in CO
Enrollment address
106 Blanca Ave
Alamosa, CO 81101-2340
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
San Luis Valley Regional Medical CenterCCN 060008 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

1280 Grand Ave
Del Norte, CO 81132
Phone (719) 657-2418

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karla Hardesty Individual Corporate DirectorBoard President Sep 9, 2009
Christine Hettinger Hunt Individual Corporate OfficerChief Clinical Officer Jan 1, 2019
Shane Mortensen Individual Corporate DirectorChief Financial Officer Jul 1, 2013
Carmelo Hernandez Individual Corporate OfficerChief Medical Officer Jan 1, 2019
Konnie Martin Individual Corporate OfficerChief Executive Officer Jun 1, 2013
Operational/Managerial ControlChief Executive Officer Jul 1, 2013

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Luis Valley HealthLa Jara, CO, CCN 061308 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
SLV Health Conejos County Hospital Swing BedLa Jara, CO, CCN 06Z308 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
SLV Health Antonito ClinicAntonito, CO, CCN 063992 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
SLV Health la Jara ClinicLa Jara, CO, CCN 068513 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
Lutheran Hospital Association of the San Luis ValleyMonte Vista, CO, CCN 068523 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 2, 2011

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 338

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 338

Affiliated clinicians 222

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1235181744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BLANCA AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012340",
            "telephone_number": "719-589-2511",
            "fax_number": "719-587-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BLANCA AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012340",
            "telephone_number": "719-589-2511",
            "fax_number": "719-587-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-587-1206",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "011001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Luis Valley Health Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.