Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Parent organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Other names
Clinica Family Health, Peoples Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Authorized official
BRIAN J JOHNSTON (CFO)
(303) 926-0625
Entity
Organization
Contact information
Practice address
2525 13TH ST, BOULDER, CO 80304-4104
(720) 565-4270
(303) 417-2846
Mailing address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
180376
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60689358
—
CO
Enumeration date
10/20/2005
Last updated
02/24/2022
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