Covered Entity Details

CH080130 SALUD FAMILY HEALTH, INC (Active)

Main Details

Name

SALUD FAMILY HEALTH, INC

Subdivision Name

SALUD FORT LUPTON

Type

HRSA-Funded Health Center

Site ID

BPS-H80-003366

340B ID

CH080130

Grant Number

H80CS00801

Additional Details

Current Program Status

Active

Registration Date

12/1/1992

Participating Start Date

12/1/1992

Participating Approval Date

6/18/2009

Last Recertification Date

2/11/2025

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

1115 2nd St
Fort Lupton, CO 80621-1745

Billing Address

SALUD FAMILY HEALTH, INC
203 S. Rollie Avenue
FORT LUPTON, CO 80621

Comment	Last Updated On
1 Item 1 to 3 of 3 Page: of 1 Page size:

1 Item 1 to 3 of 3 Page: of 1 Page size:
3/28/12 - Changed main address from 729 E. Railroad Ave and Ship to address from 203 South Rollie ave. Changed contact name from PATRICIA LUCIO. 11/18/11 - Changed main and ship address from 1115 SECOND STREET, FT. LUPTON, CO. 6/17/10 ADDED BILL TO;	03/28/2012
11/18/11 - Changed main and ship address from 1115 SECOND STREET, FT. LUPTON, CO. 6/17/10 ADDED BILL TO;	11/18/2011
6/17/10 ADDED BILL TO;	06/17/2010

340B Drug Pricing Program Database