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Contact Information

CLINICA CAMPESINA FAMILY HEALTH SERVICES
897 US HWY 287
SUITE 200
BROOMFIELD, CO80020
 Phone: 303-443-8500
 Fax: 720-687-2752
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for CLINICA CAMPESINA FAMILY HEALTH SERVICES

NPI Number 1124866801
LBN Legal business name CLINICA CAMPESINA FAMILY HEALTH SERVICES
Authorized official BRIAN JOHNSTON - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2024
Last updated 12/17/2024 - More than a year ago
Identifiers
CO Medicaid 82830061
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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