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Salud Family Health

Clinic/Center, Federally Qualified Health Center (FQHC) in Trinidad, CO. Organization (NPI-2).

NPI number1497393003
StatusActive
Last updated in NPPESJan 25, 2023

Details

NPI
1497393003
Entity type
Organization (NPI-2)
Legal business name
Salud Family Health
Organization subpart
No
Enumeration date
Dec 13, 2019
Certification date
Jan 25, 2023
Last updated
Jan 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Other names

  • Plan De Salud Del Valle, INC (Former Legal Business Name)

Practice location

928 Smith Ave
Trinidad, CO 81082-2841

Phone 303-697-2583

Mailing address

203 S Rollie Ave
Fort Lupton, CO 80621-1508

Phone 303-892-6401 · Fax 303-892-1511

Authorized official

David Madsen
Cfo
7203229405

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