NPIMap

Organization Active NPI

Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Brighton, CO
National Provider Identifier
1780717579
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
Practice address
1860 E Egbert St
Brighton, CO 80601-2404
Phone
(303) 697-2583
Fax
(303) 655-1994
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
Mr. John Santistevan
Title
Director of Finance and Accounting
Phone
(303) 892-6401

Specialties & licenses 1

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

Addresses

Primary practice location

1860 E Egbert St
Brighton, CO 80601-2404

Mailing address

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

Other names 1

  • 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
O20100602000586 CO Part A Provider - Federally Qualified Health Center (FQHC) 3173433398 Practice locations: Brighton, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780717579. Details of each certification follow.

Federally qualified health center certification: CCN 061811

Legal name
SALUD FAMILY HEALTH
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
1860 E Egbert St
Brighton, CO 80601-2404

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

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 OfficerVice Chair Jan 1, 1978
Jesus a Tijerina Individual Corporate DirectorChairman Jan 7, 1970
David Madsen Individual Corporate OfficerCfo Aug 24, 2016
Operational/Managerial ControlCfo Aug 24, 2016
John Santistevan Individual Corporate DirectorPresident/Ceo Sep 27, 1996
Joseph Daniel O'Connor Individual Corporate OfficerManager of Decision Support and Rev Apr 1, 2018

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": "1780717579",
    "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": "1860 E EGBERT ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012404",
            "telephone_number": "303-697-2583",
            "fax_number": "303-655-1994"
        }
    ],
    "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": "SANTISTEVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND ACCOUNTING",
        "authorized_official_telephone_number": "303-892-6401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plan De Salud Del Valle Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.