# CLINICA CAMPESINA FAMILY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184775959
- **Authorized official:** MR. SIMON SMITH (CEO)
- **Authorized official phone:** (303) 665-3036

## Contact information

- **Practice address:** 1701 W 72ND AVE, 1ST FLOOR, DENVER, CO 80221-2721
- **Practice address phone:** (720) 207-0150
- **Practice address fax:** (303) 650-2557
- **Mailing address:** 1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
- **Mailing address phone:** (303) 665-3036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 535 | CO | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 01/30/2019
