Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Parent organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Other names
Clinica Family Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Authorized official
MR. BRIAN J JOHNSTON (CFO)
(303) 926-0625
Entity
Organization
Contact information
Practice address
972 GOLDEN GATE CANYON RD, BLACK HAWK, CO 80422-8993
(303) 650-4460
Mailing address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
(303) 926-0625
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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