Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Other names
Clinica Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON SMITH (CEO)
(303) 650-4460
Entity
Organization
Contact information
Practice address
4869 BROADWAY ST, BOULDER, CO 80304-0523
(303) 650-4460
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 650-4460
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
01/28/2019
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