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Contact Information

CLINICA CAMPESINA FAMILY HEALTH SERVICES
2525 13TH ST FL 1
BOULDER, CO80304-4104
 Phone: 303-665-3036
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CLINICA CAMPESINA FAMILY HEALTH SERVICES

NPI # 1144456153
LBN Legal business name CLINICA CAMPESINA FAMILY HEALTH SERVICES
Authorized official SIMON SMITH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2009
Last updated 03/07/2016 - About 10 years ago
Identifiers
CO License # 768
Other 2120373 PK
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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