Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Parent organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Authorized official
PRIYANGANI DEEPA GOONATHILAKA (DIRECTOR OF REVENUE CYCLE)
(303) 665-3036
Entity
Organization
Contact information
Practice address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
(303) 665-3036
Mailing address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
(165) 149-2470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/28/2022
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