# CLINICA CAMPESINA FAMILY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLINICA CAMPESINA FAMILY HEALTH SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609598390
- **Legal business name:** CLINICA CAMPESINA FAMILY HEALTH SERVICES
- **Authorized official:** PRIYANGANI DEEPA GOONATHILAKA (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (303) 665-3036

## Contact information

- **Practice address:** 1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
- **Practice address phone:** (303) 665-3036
- **Mailing address:** 1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
- **Mailing address phone:** (165) 149-2470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2022
- **Last updated:** 09/28/2022