Organization Name: | PLAN DE SALUD DEL VALLE INC |
NPI Number: | 1720111677 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN SANTISTEVAN (PRESIDENT/CEO) |
Mailing Address: | 1950 Redtail Hawk Dr Estes Park |
State: | CO US |
Postal Code: | 805179780 |
Phone Number: | 9705869230 |
Fax Number: | 9705773464 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0904X |
License Number: | 0323 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, Federal |
Taxonomy Definition: |