Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lutheran Hospital Association of the San Luis Valley

Organization Obstetrics & Gynecology Physician · NPI 1063690600

Lutheran Hospital Association of the San Luis Valley is an Obstetrics & Gynecology Physician in LA Jara, Colorado. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
5

Practice location Address checks out

19021 Highway 285
LA Jara, CO 81140
Phone: (719) 274-6000
Fax: (719) 587-1372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Surgery Physician Taxonomy 208600000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1063690600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Johnson — Chief Executive Officer · (719) 589-2511
Other names Slv Regional Medical Center
NPI enumeratedFebruary 6, 2008
Last updated in NPPESFebruary 6, 2008
Mailing address106 Blanca Ave, Alamosa, CO 81101-2340