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Lutheran Hospital Association of the San Luis Valley

Organization Active NPI General Acute Care Hospital · Alamosa, CO

NPI 1235181744 · NPPES record last updated Jul 1, 2013

Key facts

NPI
1235181744
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
011001 (CO)
Legal business name
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
Practice address
106 Blanca Ave
Alamosa, CO 81101-2340
Phone
(719) 589-2511
Fax
(719) 587-1372
NPI assigned
May 16, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Owned or controlled facilities with NPI records 5

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

Other NPIs on the same Medicare enrollment 6

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

Other NPIs with the same Medicare PAC ID 6

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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

Practitioners 326

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 326

Affiliated clinicians 222

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

View all 222

Medicare Care Compare: Hospital

Listed as
San Luis Valley Regional Medical Center CCN 060008
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CO

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
Corporation · Non-profit
Incorporated
Nov 27, 1937 in CO
Enrollment address
106 Blanca Ave
Alamosa, CO 81101-2340
Other Hospital Practice Location
Hospital subgroups
Acute care

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 Director
Board President		 Sep 9, 2009
Christine Hettinger Hunt
Individual 		Corporate Officer
Chief Clinical Officer		 Jan 1, 2019
Shane Mortensen
Individual 		Corporate Director
Chief Financial Officer		 Jul 1, 2013
Carmelo Hernandez
Individual 		Corporate Officer
Chief Medical Officer		 Jan 1, 2019
Konnie Martin
Individual 		Corporate Officer
Chief Executive Officer		 Jun 1, 2013
Operational/Managerial Control
Chief Executive Officer		 Jul 1, 2013

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

Medicare enrollment records

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

National Provider Directory

Locations

921 Oak Park Blvd
Ste 201B
Pismo Beach, CA 93449
Phone (805) 481-3733

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

103 Chico Ct
Unit B
Monte Vista, CO 81144
Phone (719) 852-6408

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
04107041MedicaidCO
04003141MedicaidCO
06000426MedicaidCO
05008008MedicaidCO

Other names

  • San Luis Valley Health Regional Medical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2013.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04107041",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04003141",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06000426",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05008008",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Luis Valley Health Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamosa, CO

All providers in Alamosa, CO · General Acute Care Hospital in Colorado

Sources for this page

Verify at the official NPI Registry.