LA CLINICA DE LOS CAMPESINOS, INC; NPI #1790786929

Contact Information

LA CLINICA DE LOS CAMPESINOS, INC

2501 MAIN ST
STEVENS POINT, WI 54481-4000

Phone: 715-254-9072
Fax: 715-254-9106
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Dentist	122300000X
Family	363LF0000X	50	Nurse Practitioner
Family Medicine	207Q00000X	08	Physician/Family Practice
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for LA CLINICA DE LOS CAMPESINOS, INC

NPI Number 1790786929

LBN Legal business name LA CLINICA DE LOS CAMPESINOS, INC

Authorized official ERIN BENDER - (ENROLLMENT AND CONTRACT SPECIALIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/10/2005

Last updated 11/21/2025 - About 7 months ago

Identifiers

WI	Medicaid	100076513
WI	Medicaid	100076692
WI	Medicaid	100080272
WI	Medicaid	100084424
WI	Medicaid	100224438
WI	Medicaid	100237113
WI	Medicaid	100253468
WI	Medicaid	32955200

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LA CLINICA DE LOS CAMPESINOS, INC

Contact Information

Specialty

Federally Qualified Health Center (FQHC)

Dentist

Family

Family Medicine

Mental Health (Including Community Mental Health Center)

NPI Profile & details for LA CLINICA DE LOS CAMPESINOS, INC

Reviews for LA CLINICA DE LOS CAMPESINOS, INC