Organization
SALUD FAMILY HEALTH
Active
Other names
Plan De Salud Del Valle Inc, Sherman Early Childhood Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MADSEN (CFO)
(720) 322-9405
Entity
Organization
Contact information
Practice address
300 SHERMAN ST, FORT MORGAN, CO 80701-3624
(970) 867-2998
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)
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000175198
—
CO
Enumeration date
09/18/2018
Last updated
01/25/2023
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