| Salud Family Health | |
|
220 E Rogers Rd Longmont CO 80501-6027 | |
| (303) 697-2583 | |
| (303) 682-6419 |
| Full Name | Salud Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 E Rogers Rd, Longmont, Colorado |
| Authorized Official Name and Position | John Santistevan (PRESIDENT/CEO) |
| Authorized Official Contact | 3038926401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud Family Health 203 S Rollie Ave Billing Dept-credentialist Fort Lupton CO 80621-1508 Ph: (303) 286-4560 | Salud Family Health 220 E Rogers Rd Longmont CO 80501-6027 Ph: (303) 697-2583 |
| NPI Number | 1871626267 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 3173433398 |
|---|---|
| Medicare Enrollment ID | O20040219000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871626267 | NPI | - | NPPES |
| 60326522 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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