Organization
SALUD FAMILY HEALTH
Active
Other names
Plan De Salud Del Valle Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SANTISTEVAN (PRESIDENT/CEO)
(303) 892-6401
Entity
Organization
Contact information
Practice address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 892-6401
(303) 286-4589
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 892-6401
(303) 892-1511
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04095089
—
CO
Enumeration date
07/05/2005
Last updated
09/19/2023
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