| Organization Name: | PLAN DE SALUD DEL VALLE INC |
| NPI Number: | 1386777266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN SANTISTEVAN (DIRECTOR OF FINANCE AND ACCOUNTING) |
| Mailing Address: | 1115 2nd St Fort Lupton |
| State: | CO US |
| Postal Code: | 806211745 |
| Phone Number: | 3038572771 |
| Fax Number: | 3033229434 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0904X |
| License Number: | 0323 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, Federal |
| Taxonomy Definition: | |