Salud Family Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

0323 Issued in CO

Legal business name

SALUD FAMILY HEALTH

Practice address

300 Lake St
Fort Morgan, CO 80701-3118

Phone

(970) 867-8422

Fax

(970) 867-8498

NPI assigned

Mar 6, 2018

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Madsen

Title

Cfo

Phone

(720) 322-9405

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plan De Salud Del Valle Inc Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811499809. Details of each certification follow.

• CCN 061985 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 061985

Legal name

SALUD FAMILY HEALTH CENTERS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 22, 2018

Last certification

May 22, 2018

Ownership / control type

For profit – corporation

Facility address

300 Lake Street
Fort Morgan, CO 80701

Locations

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1811499809",
    "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": "303-892-6401",
            "fax_number": "303-892-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LAKE ST",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013118",
            "telephone_number": "970-867-8422",
            "fax_number": "970-867-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-322-9405"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CO",
            "license": "0323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000167032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plan De Salud Del Valle Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Salud Family Health (Salud Family Health Centers)
• Salud Family Health
• Salud Family Health
• Salud Family Health
• Salud Family Health
• Salud Family Health
• Salud Family Health (Fort Morgan Middle School)
• Sami Ride LLC
• David Wayne Sanchez, M.D.
• Martiez Octavius Sanders, DDS

• Federally Qualified Health Center (FQHC) in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Federally Qualified Health Center (FQHC) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.