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Salud Family Health

Organization Active NPI Federally Qualified Health Center (FQHC) · Sterling, CO

NPI 1437282829 · NPPES record last updated Jan 25, 2023

Key facts

NPI
1437282829
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
SALUD FAMILY HEALTH
Practice address
1410 S 7TH Ave
Sterling, CO 80751-4557
Phone
(303) 697-2583
Fax
(970) 526-8095
NPI assigned
Mar 14, 2007
Organization subpart
No

Authorized official

Name
John Santistevan
Title
President/Ceo
Phone
(303) 892-6401

Other NPIs with the same Medicare PAC ID 14

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

Corporate family (same tax ID) 17

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

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

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 75

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Federally qualified health center certification: CCN 061869

Legal name
SALUD FAMILY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 19, 2001
Last certification
Dec 19, 2001
Ownership / control type
For profit – partnership
Organization structure
Corporation · Non-profit
Incorporated
Jun 21, 1971 in CO
Enrollment address
1410 S 7TH Ave
Sterling, CO 80751-4557
Related CCNs
061810

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Jesus a Tijerina
Individual 		Corporate Director
Chairman of the Board		 Jan 7, 1970
David Madsen
Individual 		Operational/Managerial Control
Cfo		 Aug 24, 2016
John Santistevan
Individual 		Corporate Director
President/Ceo		 Sep 27, 1996
Joseph Daniel O'Connor
Individual 		Corporate Officer
Managerdecision Support and Revenue		 Mar 13, 2018
Operational/Managerial Control
Manager of Decision Support		 Mar 13, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100604000123 CO Part a Provider - Federally Qualified Health Center (FQHC) 3173433398 Practice locations: Sterling, CO

National Provider Directory

Tax ID family
Salud Family Health (18 organizations share this tax ID)

Locations

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

Specialties & licenses

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

Addresses

Primary practice location

1410 S 7TH Ave
Sterling, CO 80751-4557

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
84059028MedicaidCO

Other names

  • Plan De Salud Del Valle Inc Former legal business name

Other providers in Sterling, CO

All providers in Sterling, CO · Federally Qualified Health Center (FQHC) in Colorado

Sources for this page

Verify at the official NPI Registry.