# CLINICA CAMPESINA FAMILY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLINICA CAMPESINA FAMILY HEALTH SERVICES
- **Other names:** Clinica Family Health, Peoples Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184613234
- **Legal business name:** CLINICA CAMPESINA FAMILY HEALTH SERVICES
- **Authorized official:** BRIAN J JOHNSTON (CFO)
- **Authorized official phone:** (303) 926-0625

## Contact information

- **Practice address:** 2525 13TH ST, BOULDER, CO 80304-4104
- **Practice address phone:** (720) 565-4270
- **Practice address fax:** (303) 417-2846
- **Mailing address:** 1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 180376 | CO | Yes |

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 02/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60689358 | — | CO |