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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
1261QF0400XFederally Qualified Health Center (FQHC)

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 : 1720111677
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALUD FAMILY HEALTH
Provider Business Mailing Address
First Line : 203 S ROLLIE AVE
Second Line : BILLING DEPT-CREDENTIALIST
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 : 1950 REDTAIL HAWK DR
Second Line :
City : ESTES PARK
State : CO
Zip : 80517-9780
Country : US
Telephone Number : 303-697-2583
Fax Number : 970-577-3464
Authorized Official
Title or Position : PRESIDENT/CEO
Name : JOHN SANTISTEVAN
Credential :
Telephone Number : 303-892-6401
Provider Enumeration Date : 03/13/2007
Last Update Date : 01/25/2023

Similar Medicare Providers

1407493216 — LENAYA MARIE MARTIN FNP-C
Practice Location Address:
1950 REDTAIL HAWK DR
ESTES PARK, CO
80517-9780
Practice Phone: 303-698-2753
Practice Fax: 970-577-3464
1487627519 — MICHELLE K CHEW NP
Practice Location Address:
1950 REDTAIL HAWK DR
ESTES PARK, CO
80517-9780
Practice Phone: 970-586-9230
Practice Fax: 970-586-0292
1619940657 — EILEEN FLAHERTY NP
Practice Location Address:
1950 REDTAIL HAWK DR
ESTES PARK, CO
80517-9780
Practice Phone: 970-586-9230
Practice Fax: 970-586-0292
1568435121 — JAMES VILLEMONTE DDS
Practice Location Address:
1950 REDTAIL HAWK DR
ESTES PARK, CO
80517-9780
Practice Phone: 970-586-9230
Practice Fax: 970-586-0292
1164430542 — CHERRI BAILEY CNS
Practice Location Address:
1950 REDTAIL HAWK DR
ESTES PARK, CO
80517-9780
Practice Phone: 970-586-9105
Practice Fax:
1336152719 — DR. JOHN KEVIN STANTON D.O.
Practice Location Address:
1950 REDTAIL HAWK DR
ESTES PARK, CO
80517-9780
Practice Phone: 970-586-9230
Practice Fax: 970-586-0292

Directions to “SALUD FAMILY HEALTH ” Practice Location

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