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CH08013L PLAN DE SALUD DEL VALLE, INC. (Terminated)
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Main Details
Name
PLAN DE SALUD DEL VALLE, INC.
Subdivision Name
Salud at LaPorte
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015387
340B ID
CH08013L
Grant Number
H80CS00801
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/10/2016
Last Recertification Date
2/8/2022
Termination Date
Termination Reason
4/1/2023
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
1830 LAPORTE AVE
FORT COLLINS, CO 80521-2341
Billing Address
Salud Family Health Centers
203 S. Rollie Avenue
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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