PLAN DE SALUD DEL VALLE INC (NPI# 1083031157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083031157 |
| Entity Type | Organization |
| Organization Name | PLAN DE SALUD DEL VALLE INC |
| Other Organization Name | SALUD FAMILY HEALTH CENTERS |
| Practice Address |
220 E Rogers Rd Longmont CO 80501-6027 |
| Mailing Address |
203 S Rollie Ave Fort Lupton CO 80621-1508 |
| Practice Telephone | 3037763250 |
| Practice Fax Number | 3036829269 |
| Mailing Telephone | 3032864560 |
| Mailing Fax Number | 3032864589 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |
| Authorized Official Name | JOHN SANTISTEVAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 3038926401 |
| Is Organization Subpart | Y |
| Parent Organization Name | PLAN DE SALUD DEL VALLE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE | 061808 | 01 |
| Other Name | Type Code |
|---|---|
| Salud Family Health Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467954453 | Plan De Salud Del Valle Inc | Clinic/Center | 930 Sherman St, Fort Morgan, CO 80701-3544 | 2018-03-06 |
| 1972636504 | Plan De Salud Del Valle Inc | Clinic/Center | 5995 Iris Pkwy, Frederick, CO 80504-6412 | 2007-03-13 |
| 1275530388 | Plan De Salud Del Valle Inc | Clinic/Center | 203 S Rollie Ave, Fort Lupton, CO 80621-1508 | 2005-07-05 |
| 1811499809 | Plan De Salud Del Valle Inc | Clinic/Center | 300 Lake St, Fort Morgan, CO 80701-3118 | 2018-03-06 |
| 1801297593 | Plan De Salud Del Valle Inc | Clinic/Center | 4371 E 72nd Ave, Commerce City, CO 80022-1471 | 2014-09-12 |
| 1700203874 | Plan De Salud Del Valle Inc | Pharmacy | 1635 Blue Spruce Dr, Fort Collins, CO 80524-5427 | 2014-03-26 |
| 1669899738 | Plan De Salud Del Valle Inc | Pharmacy | 6255 Quebec Pkwy, Commerce City, CO 80022-4812 | 2014-03-26 |
| 1174940241 | Plan De Salud Del Valle Inc | Pharmacy | 1860 E Egbert St, Brighton, CO 80601-2475 | 2014-03-26 |
| 1508186891 | Plan De Salud Del Valle Inc | Pharmacy | 1115 2nd St, Fort Lupton, CO 80621-1745 | 2010-06-09 |
| 1437282829 | Plan De Salud Del Valle Inc | Clinic/Center | 1410 S 7th Ave, Sterling, CO 80751-4557 | 2007-03-14 |
| Street Address |
220 E ROGERS RD |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892761 | Michael W Allen | Family Medicine | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2005-12-15 |
| 1114545654 | Destynee Jabrae Horner | Student in an Organized Health Care Education/Training Program | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2020-07-10 |
| 1770117368 | Mallory Mayeda | Student in an Organized Health Care Education/Training Program | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2020-02-24 |
| 1407344310 | Gina Terrell | Dental Hygienist | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2018-04-25 |
| 1255881512 | Yaira Oquendo-figueroa | Psychologist | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2016-10-11 |
| 1598149049 | Joshua F. Bailey | Family Medicine | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2015-07-15 |
| 1881000313 | Rachel B Morse | Nurse Practitioner | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2014-07-04 |
| 1295140903 | Albert Hong | Dentist | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2014-06-23 |
| 1447670328 | Elisabeth Mercedes Merrill | Family Medicine | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2014-04-18 |
| 1609216753 | Helenka Stone | Family Medicine | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2013-07-02 |
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| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1356995716 | Elevate Clinical Pharmacology Services LLC | Pharmacy | 4020 Palmer Park Blvd Ste 101b, Colorado Springs, CO 80909-3402 | 2019-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.