SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP
NPI 1043836380
Clinic/Center - Mental Health (Including Community Mental Health Center) in Antonito, CO
NPI Status: Active since June 23, 2020
Contact Information
9TH & DAHLIA
AKA 915 DAHLIA
ANTONITO, CO
ZIP 81120
Phone: (719) 589-3671
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 06D0939923
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-02-2026
About SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP
This page provides the complete NPI Profile along with additional information for San Luis Valley Behavioral Health Group, a provider established in Antonito, Colorado operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1043836380 assigned on June 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as San Luis Valley Behavioral Health Group. The authorized official of this NPI record is Victoria Romero (Ceo)
- NPI
- 1043836380
- Provider Legal Name
- SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
- Other Organization Name
- SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9TH & DAHLIA AKA 915 DAHLIA ANTONITO, CO 81120
- Location Phone
- (719) 589-3671
- Mailing Address
- 8745 COUNTY ROAD 9 S ALAMOSA, CO 81101
- Mailing Phone
- (719) 589-3671
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2020
- Last Update Date
- 01-16-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0939923
- Facility Type
- Physician Office
- Certificate Effective Date
- February 03, 2024
- Certificate Expiration Date
- February 02, 2026
- Laboratory Director
- DR. CLINT R. SOWARDS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to San Luis Valley Behavioral Health Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 8 | 3 | 6 | 3 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 16 | 3 | 12 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 6 + 3 + 1 + 2 + 3 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1043836380 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689288961 | SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 9TH & DAHLIA AKA 915 DAHLIA ANTONITO, CO 81120 (719) 589-3671 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043836380, enumerated in the NPI registry as an "organization" on June 23, 2020
The provider is located at 9th & Dahlia Aka 915 Dahlia Antonito, Co 81120 and the phone number is (719) 589-3671
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider's CLIA number is 06D0939923 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on June 23, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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