CLINICA CAMPESINA FAMILY HEALTH SERVICES NPI 1790132033

NPI Information

CLINICA CAMPESINA FAMILY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Boulder, CO. CLINICA CAMPESINA FAMILY HEALTH SERVICES NPI is 1790132033. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinica Family Health.

The provider's business location address is:

4869 BROADWAY ST
BOULDER, CO
ZIP 80304-523
Phone: (303) 650-4460

The provider's authorized official is Simon Smith .
The authorized official title is Ceo and has the following contact phone number (303) 650-4460.

The CLIA number assigned to this NPI record is 06D2264311 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/17/2016 and was last updated on 1/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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