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SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI 1871891218


NPI Information

NPI: 1871891218
Provider Name: SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 06D0518546

Address:
8745 COUNTY ROAD 9 S
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-3671
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SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Alamosa, CO. SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI is 1871891218. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8745 COUNTY ROAD 9 S
ALAMOSA, CO
ZIP 81101-610
Phone: (719) 589-3671
Fax: (719) 589-9136

The provider's authorized official is Victoria Romero .
The authorized official title is Ceo and has the following contact phone number (719) 589-3671.

The CLIA number assigned to this NPI record is 06D0518546 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/9/2011 and was last updated on 1/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2251S00000XCommunity/Behavioral Health15K557COLORADONo
3251S00000XCommunity/Behavioral Health1056-00COLORADONo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
135180358OTHERCOLORADOMEDICAID FEE FOR SERVICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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