Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Other names
Clinica Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J JOHNSTON (CFO)
(303) 926-0625
Entity
Organization
Contact information
Practice address
1735 S PUBLIC RD STE 201, LAFAYETTE, CO 80026-7093
(303) 665-3036
(303) 665-9566
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
(303) 665-9566
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0556
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04169041
—
CO
Enumeration date
10/03/2005
Last updated
07/13/2022
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