NPIMap

Organization Active NPI

Salud Family Health

Doing business as Salud Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Brighton, CO
National Provider Identifier
1801298070
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
30 S 20TH Ave
Brighton, CO 80601-3705
Phone
(303) 697-2583
Fax
(303) 655-1994
NPI assigned
Sep 19, 2014
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
John Santistevan
Title
President/Ceo
Phone
(303) 892-6401

Specialties & licenses 1

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

Addresses

Primary practice location

30 S 20TH Ave
Brighton, CO 80601-3705

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
9000158200MedicaidCO

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 CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031126000756 CO Part B Supplier - Clinic/Group Practice 3173433398 Receives reassigned benefits from 93 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Morgan, CO; Frederick, CO; Longmont, CO; Sterling, CO; Trinidad, CO; Aurora, CO; Brighton, CO; Commerce City, CO…
O20160711000524 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 1801298070. Details of each certification follow.

Federally qualified health center certification: CCN 061967

Legal name
SALUD FAMILY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 24, 2016
Last certification
Feb 24, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 23, 1971 in CO
Enrollment address
30 S 20TH Ave
Brighton, CO 80601-3705

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

30 S 20th Ave
Unit A
Brighton, CO 80601
Phone (303) 655-1950

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 OfficerSecretary Board Member Jan 1, 1978
Jesus a Tijerina Individual Corporate DirectorVice Chairman Jan 7, 1970
David Madsen Individual Operational/Managerial ControlCfo Aug 24, 2016
John Santistevan Individual Corporate DirectorPresident Ceo Sep 27, 1996
Joseph Daniel O'Connor Individual Corporate Officer Mar 13, 2018

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1801298070",
    "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": "30 S 20TH AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013705",
            "telephone_number": "303-697-2583",
            "fax_number": "303-655-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "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": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "303-892-6401"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000158200",
            "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 Brighton, CO

Sources for this page

Verify at the official NPI Registry.