Organization
SALUD FAMILY HEALTH
Active
Other names
Fort Morgan High School, Plan De Salud Del Valle, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SANTISTEVAN CEO (CEO)
(303) 892-6401
Entity
Organization
Contact information
Practice address
709 E RIVERVIEW AVE, FORT MORGAN, CO 80701-3263
(303) 697-2583
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 892-6401
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000199754
—
CO
Enumeration date
11/17/2021
Last updated
01/25/2023
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