San Luis Valley Community Mental Health Center
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · San Luis, CO
NPI 1669098901 · NPPES record last updated Jan 16, 2023
Key facts
- NPI
- 1669098901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
- Practice address
- 409 Trinchera
San Luis, CO 81152 - Phone
- (719) 589-3671
- NPI assigned
- Jun 23, 2020
- Organization subpart
- No
Authorized official
- Name
- Victoria Romero
- Title
- Ceo
- Phone
- (719) 589-3671
Other NPIs on the same Medicare enrollment 20
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051025001036 | CO | Part B Supplier - Clinic/Group Practice | 0345267779 |
Receives reassigned benefits from 43 practitioners 20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alamosa, CO; Antonito, CO; Center, CO; Del Norte, CO; Fort Garland, CO; La Jara, CO; Monte Vista, CO; San Luis, CO… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
409 Trinchera
San Luis, CO 81152
Mailing address
8745 County Road 9 S
Alamosa, CO 81101-9610
Phone (719) 589-3671
Other names
- SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP
Other providers in San Luis, CO
- Maryanne Martinez
- Carrie Ann Mondragon
- Joseph Quintana
- Steven R Romero
- San Luis Valley Community Mental Health Center
- San Luis Valley Community Mental Health Center
- San Luis Valley Community Mental Health Center, Inc.
- Valley-Wide Health Systems, Inc
- Valley-Wide Health Systems, Inc
- Paul Wertz
All providers in San Luis, CO · Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.