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CH08013J PLAN DE SALUD DEL VALLE, INC. (Terminated)
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Main Details
Name
PLAN DE SALUD DEL VALLE, INC.
Subdivision Name
Community Reach Center Salud
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014434
340B ID
CH08013J
Grant Number
H80CS00801
Additional Details
Current Program Status
Terminated
Registration Date
4/6/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/14/2015
Last Recertification Date
2/11/2019
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Salud Family Health Centers
John Santistevan, President/ CEO
(303) 892-6401
Primary Contact
PLAN DE SALUD DEL VALLE
George Hartman, Director of Pharmacy
(303) 892-6401
Addresses
Street Address
4371 E 72ND AVE
COMMERCE CITY, CO 80022-1471
Billing Address
PLAN DE SALUD DEL VALLE, INC
203 South Rollie Ave
Fort Lupton, CO 80621
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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