| Salud Family Health | |
|
203 S Rollie Ave Fort Lupton CO 80621-1508 | |
| (303) 892-6401 | |
| (303) 286-4589 |
| Full Name | Salud Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 S Rollie Ave, Fort Lupton, 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 Fort Lupton CO 80621-1508 Ph: (303) 892-6401 | Salud Family Health 203 S Rollie Ave Fort Lupton CO 80621-1508 Ph: (303) 892-6401 |
| NPI Number | 1275530388 |
|---|---|
| Provider Enumeration Date | 07/05/2005 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 3173433398 |
|---|---|
| Medicare Enrollment ID | O20031126000756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275530388 | NPI | - | NPPES |
| 04095089 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Layne C Bracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780660464 PECOS PAC ID: 3476455429 Enrollment ID: I20040121001018 |
| Provider Name | Michael W Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003892761 PECOS PAC ID: 9739157884 Enrollment ID: I20040917000279 |
| Provider Name | Ann E Dominguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104802768 PECOS PAC ID: 8123913217 Enrollment ID: I20041021000290 |
| Provider Name | Marc H Seidman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982680088 PECOS PAC ID: 2668424276 Enrollment ID: I20050211000328 |
| Provider Name | Jason Twardzik Heine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598741415 PECOS PAC ID: 8224060751 Enrollment ID: I20050906000978 |
| Provider Name | Laura E Schwartz Slater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346744208 PECOS PAC ID: 1052334935 Enrollment ID: I20060105000797 |
| Provider Name | Tillman Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013993682 PECOS PAC ID: 6305852062 Enrollment ID: I20060303000678 |
| Provider Name | Daniel J Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154351633 PECOS PAC ID: 6709884091 Enrollment ID: I20061121000288 |
| Provider Name | Kristinell Keil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669414843 PECOS PAC ID: 7012012511 Enrollment ID: I20070411000395 |
| Provider Name | Matthew S Brett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285610964 PECOS PAC ID: 8921108879 Enrollment ID: I20070709000091 |
| Provider Name | Leslie C Shenkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104022342 PECOS PAC ID: 6709977358 Enrollment ID: I20070810000362 |
| Provider Name | Karen I Fedde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598811101 PECOS PAC ID: 3274626304 Enrollment ID: I20070906000355 |
| Provider Name | Pradeep Dhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457472029 PECOS PAC ID: 8921193558 Enrollment ID: I20070927000566 |
| Provider Name | Jeremy C Christensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356512560 PECOS PAC ID: 0042383168 Enrollment ID: I20080723000532 |
| Provider Name | Suzanne Lynne Parsons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841266293 PECOS PAC ID: 3971543422 Enrollment ID: I20080825000508 |
| Provider Name | Laurie Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184621245 PECOS PAC ID: 4981688793 Enrollment ID: I20090615000191 |
| Provider Name | Ila D Slimowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144450784 PECOS PAC ID: 3476607151 Enrollment ID: I20090814000151 |
| Provider Name | John C Fontenot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033373410 PECOS PAC ID: 6507902681 Enrollment ID: I20091002000235 |
| Provider Name | Katherine L Rufner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336286624 PECOS PAC ID: 1355488982 Enrollment ID: I20091029000708 |
| Provider Name | Maureen T Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457385734 PECOS PAC ID: 6002919545 Enrollment ID: I20091030000310 |
| Provider Name | Aline C Hansen-guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073685442 PECOS PAC ID: 7517006679 Enrollment ID: I20091202000461 |
| Provider Name | Jennifer A Caragol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003001256 PECOS PAC ID: 2365538022 Enrollment ID: I20091203000755 |
| Provider Name | Hans Elzinga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083690648 PECOS PAC ID: 4981738143 Enrollment ID: I20100810001060 |
| Provider Name | Douglas Whitman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467438648 PECOS PAC ID: 5092849232 Enrollment ID: I20100826000649 |
| Provider Name | Grishma S Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336125616 PECOS PAC ID: 6406041490 Enrollment ID: I20101116001029 |
| Provider Name | Amelia E Virostko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306010970 PECOS PAC ID: 6406022086 Enrollment ID: I20120103000480 |
| Provider Name | Ian Karl Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063732758 PECOS PAC ID: 3476715764 Enrollment ID: I20140221000274 |
| Provider Name | Sonia M Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154427557 PECOS PAC ID: 6800893884 Enrollment ID: I20151009001568 |
| Provider Name | Zachary Alexander Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871922161 PECOS PAC ID: 8820399884 Enrollment ID: I20151216000607 |
| Provider Name | Timothy J Nagel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417945866 PECOS PAC ID: 0648173435 Enrollment ID: I20161010000227 |
| Provider Name | Cynthia Conner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740659614 PECOS PAC ID: 0547536773 Enrollment ID: I20171016002579 |
| Provider Name | Yaira Oquendo-figueroa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255881512 PECOS PAC ID: 9537435771 Enrollment ID: I20171016003108 |
| Provider Name | Elisabeth Merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447670328 PECOS PAC ID: 0749408854 Enrollment ID: I20171227002653 |
| Provider Name | Joshua F. Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598149049 PECOS PAC ID: 7416258439 Enrollment ID: I20180924001467 |
| Provider Name | Alma Leticia Silva-gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750865374 PECOS PAC ID: 9436402534 Enrollment ID: I20181018002043 |
| Provider Name | Pedro Felix Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245716091 PECOS PAC ID: 1951643980 Enrollment ID: I20190423002460 |
| Provider Name | Olesya Tsurkina |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336669068 PECOS PAC ID: 7911230842 Enrollment ID: I20190610000600 |
| Provider Name | Claire Bovet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912354010 PECOS PAC ID: 1355629882 Enrollment ID: I20190724001984 |
| Provider Name | Tamara K Oser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265437594 PECOS PAC ID: 7719886167 Enrollment ID: I20191011002075 |
| Provider Name | Lauren S Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295050128 PECOS PAC ID: 0446494777 Enrollment ID: I20200327001524 |
| Provider Name | Lisa Bolander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124487129 PECOS PAC ID: 7113343732 Enrollment ID: I20200813001340 |
| Provider Name | Kyle Luis Larsen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386166304 PECOS PAC ID: 8628495538 Enrollment ID: I20200824001812 |
| Provider Name | Jonathan Waldmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316392152 PECOS PAC ID: 4385936640 Enrollment ID: I20200825001549 |
| Provider Name | Jared Lenox |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093190340 PECOS PAC ID: 9830507284 Enrollment ID: I20210423000121 |
| Provider Name | Shenae Marcene Kembel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033747787 PECOS PAC ID: 0446669329 Enrollment ID: I20210505000962 |
| Provider Name | Kale Flory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154828317 PECOS PAC ID: 0749544948 Enrollment ID: I20210706002720 |
| Provider Name | John Brady Weeks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619401056 PECOS PAC ID: 2769751189 Enrollment ID: I20210707002657 |
| Provider Name | Pauline Powers-peprah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033553185 PECOS PAC ID: 7113160599 Enrollment ID: I20210805002833 |
| Provider Name | Natalie R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396419941 PECOS PAC ID: 1658775523 Enrollment ID: I20210814000250 |
| Provider Name | Lauren Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861929390 PECOS PAC ID: 1355611948 Enrollment ID: I20210816002011 |
| Provider Name | Cristina Rabaza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083148456 PECOS PAC ID: 8628347002 Enrollment ID: I20210816003584 |
| Provider Name | Mandy L Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972682870 PECOS PAC ID: 2365490307 Enrollment ID: I20210909003929 |
| Provider Name | Aglaury Nunez Morales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205328986 PECOS PAC ID: 9638560212 Enrollment ID: I20211216000732 |
| Provider Name | Rominder Kaur |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508006867 PECOS PAC ID: 7214202746 Enrollment ID: I20220106002297 |
| Provider Name | Cecilia M Edwards |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154393767 PECOS PAC ID: 8820304793 Enrollment ID: I20220210001581 |
| Provider Name | Elizabeth Frias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114663226 PECOS PAC ID: 1850778416 Enrollment ID: I20220519002807 |
| Provider Name | Anna Elizabeth Goswick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639604770 PECOS PAC ID: 7214206432 Enrollment ID: I20220527001719 |
| Provider Name | Eusonne Joy Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295304772 PECOS PAC ID: 1254713308 Enrollment ID: I20220805000801 |
| Provider Name | Allison Jacqueline Costello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043772767 PECOS PAC ID: 1759615016 Enrollment ID: I20220822000072 |
| Provider Name | Esther Soojin Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336700335 PECOS PAC ID: 2365828241 Enrollment ID: I20220929001866 |
| Provider Name | Luis Felipe Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285259010 PECOS PAC ID: 1456773852 Enrollment ID: I20230124002311 |
| Provider Name | Candice M Bardales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508571944 PECOS PAC ID: 7719359504 Enrollment ID: I20230203000632 |
| Provider Name | Anabel Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366005761 PECOS PAC ID: 8527423417 Enrollment ID: I20230427002978 |
| Provider Name | Tattiana Romo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427414002 PECOS PAC ID: 6800240664 Enrollment ID: I20230927002097 |
| Provider Name | Jennifer M Sneden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871025205 PECOS PAC ID: 3173943826 Enrollment ID: I20231116003399 |
| Provider Name | Lissette D Frederick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316712151 PECOS PAC ID: 2961850805 Enrollment ID: I20231202000411 |
| Provider Name | Carlos Anibal Estrella-rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326379447 PECOS PAC ID: 8224487475 Enrollment ID: I20231213000865 |
| Provider Name | Meemee Lahman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962935155 PECOS PAC ID: 8325497514 Enrollment ID: I20231213002492 |
| Provider Name | Andrea Lynn L'heureux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922625078 PECOS PAC ID: 6507215704 Enrollment ID: I20231213002587 |
| Provider Name | Reina Retana Ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144640954 PECOS PAC ID: 8729438148 Enrollment ID: I20231228000390 |
| Provider Name | John Brady Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619401056 PECOS PAC ID: 2769751189 Enrollment ID: I20240130002154 |
| Provider Name | Syl Manlove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720779507 PECOS PAC ID: 7618049115 Enrollment ID: I20240202001196 |
| Provider Name | Noreen N Mian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396366159 PECOS PAC ID: 1052756756 Enrollment ID: I20240305000186 |
Deborah Green Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Park Ave, Fort Lupton, CO 80621 Phone: 303-857-6111 Fax: 303-857-2459 | |
Martin Mcdermott Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 327 Park Ave, Fort Lupton, CO 80621 Phone: 303-857-2711 Fax: 303-857-1408 | |
Salud Family Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1115 2nd St, Fort Lupton, CO 80621 Phone: 303-697-2583 Fax: 303-322-9434 | |
Fort Lupton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Dexter St Ste 101, Fort Lupton, CO 80621 Phone: 303-857-2087 Fax: 303-857-2385 | |
Ft Lupton Medical Team Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Denver Ave, Fort Lupton, CO 80621 Phone: 303-857-1007 Fax: 303-857-1227 |