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NPI Code Detail

MEDICARE: SALUD FAMILY HEALTH

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
1261QP0904XFederal Public Health Clinic/Center0323CO

Other Identifiers

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

General Provider Information

NPI Number : 1114050903
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 : 303-286-4560
Fax Number : 303-286-4589
Provider Business Practice Location Address
First Line : 1635 BLUE SPRUCE DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-5427
Country : US
Telephone Number : 303-697-2583
Fax Number : 970-494-4050
Authorized Official
Title or Position : DIRECTOR OF FINANCE AND ACCOUNTING
Name : JOHN SANTISTEVAN
Credential :
Telephone Number : 303-892-6401
Provider Enumeration Date : 03/13/2007
Last Update Date : 01/25/2023

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1982680088 — DR. MARC H SEIDMAN MD
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1962466037 — PAUL THOMAS MAYER MD
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1528183662 — MARY C WATSON MS
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Directions to “SALUD FAMILY HEALTH ” Practice Location

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