Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Other names
Clinica Campesina - People's
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON SMITH (CEO)
(303) 665-2962
Entity
Organization
Contact information
Practice address
2525 13TH ST FL 1, BOULDER, CO 80304-4104
(303) 665-3036
Mailing address
2525 13TH ST FL 1, BOULDER, CO 80304-4104
(303) 665-3036
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
768
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120373
PK
—
Enumeration date
06/04/2009
Last updated
03/07/2016
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