Lutheran Hospital Association of the San Luis Valley
NPI 1083012504 · Family Medicine Physician · Monte Vista, CO
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lutheran Hospital Association of the San Luis Valley is a Family Medicine Physician organization in Monte Vista, CO (NPI 1083012504).
Provider details
- NPI number
- 1083012504
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Konni Martin, Ceo(719) 587-1206
- License
- 011001 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- San Luis Valleyhealth Monte Vista Community Clinic
- Doing business as
- San Luis Valleyhealth Monte Vista Community Clinic
Registry dates
- Enumerated
- 2014-12-16
- Last updated
- 2023-05-26
- Certified
- 2023-05-26
Frequently asked questions
- What is Lutheran Hospital Association of the San Luis Valley's NPI number?
- Lutheran Hospital Association of the San Luis Valley's National Provider Identifier (NPI) is 1083012504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lutheran Hospital Association of the San Luis Valley?
- Lutheran Hospital Association of the San Luis Valley is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lutheran Hospital Association of the San Luis Valley located?
- Lutheran Hospital Association of the San Luis Valley's practice location on file with NPPES is 103 Chico Ct, Monte Vista, CO 81144-1065.
- What is Lutheran Hospital Association of the San Luis Valley's phone number?
- The practice phone number listed in the NPPES registry for Lutheran Hospital Association of the San Luis Valley is (719) 852-9400.
- Does Lutheran Hospital Association of the San Luis Valley accept Medicare?
- Lutheran Hospital Association of the San Luis Valley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lutheran Hospital Association of the San Luis Valley?
- The authorized official listed on Lutheran Hospital Association of the San Luis Valley's NPPES record is Konni Martin, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lutheran Hospital Association of the San Luis Valley's NPI active?
- Yes — Lutheran Hospital Association of the San Luis Valley's NPI (1083012504) is active in the NPPES registry as of the last update on 2023-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.