MEDICARE: SALUD FAMILY HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)	0323	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811499809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALUD FAMILY HEALTH

Provider Business Mailing Address
First Line	:	203 S ROLLIE AVE
Second Line	:
City	:	FORT LUPTON
State	:	CO
Zip	:	80621-1508
Country	:	US
Telephone Number	:	303-892-6401
Fax Number	:	303-892-1511

Provider Business Practice Location Address
First Line	:	300 LAKE ST
Second Line	:
City	:	FORT MORGAN
State	:	CO
Zip	:	80701-3118
Country	:	US
Telephone Number	:	970-867-8422
Fax Number	:	970-867-8498

Authorized Official
Title or Position	:	CFO
Name	:	DAVID MADSEN
Credential	:
Telephone Number	:	720-322-9405

Provider Enumeration Date	:	03/06/2018
Last Update Date	:	01/25/2023

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Directions to “SALUD FAMILY HEALTH ” Practice Location

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