NPI | 1811499809 |
---|---|
Former Legal Business Name | PLAN DE SALUD DEL VALLE INC |
Entity Type | Organization |
Authorized Contact | DAVID MADSEN CFO 720-322-9405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CO 0323) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2023-01-25 |