NPIMap

Organization Active NPI

Salud Family Health

Doing business as Salud Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Fort Lupton, CO
National Provider Identifier
1386777266
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SALUD FAMILY HEALTH
Doing business as
Salud Family Health Centers
Practice address
1115 2ND St
Fort Lupton, CO 80621-1745
Phone
(303) 697-2583
Fax
(303) 322-9434
NPI assigned
Mar 13, 2007
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Health O'Connor
Title
Manager of Decision Support and Rev
Phone
(303) 286-4560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1115 2ND St
Fort Lupton, CO 80621-1745

Mailing address

203 S Rollie Ave
Fort Lupton, CO 80621-1508
Phone (303) 286-4560

Other identifiers 1

IdentifierTypeStateIssuer
05680004MedicaidCO

Other names 2

  • Salud Family Health Centers Doing business as
  • Plan De Salud Del Valle, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005001330 CO Part A Provider - Federally Qualified Health Center (FQHC) 3173433398 Practice locations: Fort Lupton, CO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1386777266. Details of each certification follow.

Federally qualified health center certification: CCN 061810

Legal name
SALUD FAMILY HEALTH
Doing business as
PLAN DE SALUD DEL VALLE, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 21, 1971 in CO
Enrollment address
1115 2ND St
Fort Lupton, CO 80621-1745

Federally qualified health center certification: CCN 061815

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PLAN DE SALUD DEL VALLE - NEW HORIZONS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Facility address
1115 Second St
Ft Lupton, CO 80621

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Salud Family Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

562 Sable Blvd
Aurora, CO 80011

911 Robinson Ave
Trinidad, CO 81082
Phone (303) 386-2727

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Colleen L Laeger Individual Corporate OfficerBoard Member Jan 1, 1979
Jesus a Tijerina Individual Corporate OfficerBoard Member Jan 7, 1970
David Madsen Individual Operational/Managerial ControlCfo Aug 24, 2016
John Santistevan Individual Corporate OfficerCeo Sep 27, 1996
Joseph Daniel O'Connor Individual Corporate OfficerManager of Decision Support and Rev Mar 13, 2018

Practitioners & affiliated clinicians

Practitioners 95

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 95

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1386777266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ROLLIE AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211508",
            "telephone_number": "303-286-4560",
            "fax_number": "303-286-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 2ND ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211745",
            "telephone_number": "303-697-2583",
            "fax_number": "303-322-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HEALTH",
        "authorized_official_title_or_position": "MANAGER OF DECISION SUPPORT AND REV",
        "authorized_official_telephone_number": "303-286-4560"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05680004",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salud Family Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salud Family Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plan De Salud Del Valle, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Lupton, CO

Sources for this page

Verify at the official NPI Registry.