DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CLINICA CAMPESINA FAMILY HEALTH SERVICES

MEDICARE: CLINICA CAMPESINA FAMILY HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)0556CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548256522
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICA CAMPESINA FAMILY HEALTH SERVICES
Provider Business Mailing Address
First Line : 1735 S PUBLIC RD STE 203
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-7093
Country : US
Telephone Number : 303-665-3036
Fax Number : 303-665-9566
Provider Business Practice Location Address
First Line : 1701 W 72ND AVE
Second Line :
City : DENVER
State : CO
Zip : 80221-2721
Country : US
Telephone Number : 303-650-4460
Fax Number : 303-650-6830
Authorized Official
Title or Position : CEO
Name : SIMON SMITH
Credential :
Telephone Number : 303-665-3036
Provider Enumeration Date : 09/23/2005
Last Update Date : 01/28/2019

Similar Medicare Providers

1477541829 — NICOLE DANIELLE WEAVER RDH
Practice Location Address:
1701 W 72ND AVE
DENVER, CO
80221-2721
Practice Phone: 303-650-4460
Practice Fax:
1154309391 — AMY C L SIMONS NP
Practice Location Address:
1701 W 72ND AVE , 3RD FLOOR
DENVER, CO
80221-2721
Practice Phone: 303-650-4460
Practice Fax:
1518910744 — CYNTHIA GARCIA PA-C
Practice Location Address:
1701 W 72ND AVE
DENVER, CO
80221-2721
Practice Phone: 303-650-4460
Practice Fax:
1083668727 — DR. KIRK ALAN SHROPSHIRE DDS
Practice Location Address:
1701 W 72ND AVE
DENVER, CO
80221-2721
Practice Phone: 303-650-4460
Practice Fax: 720-565-4131
1669413126 — DR. TAMARA L WILLIS-BUCKLEY MD
Practice Location Address:
1701 W 72ND AVE
DENVER, CO
80221-2721
Practice Phone: 303-650-4460
Practice Fax:
1649208562 — MALIA F DAVIS NP
Practice Location Address:
1701 W 72ND AVE
DENVER, CO
80221-2721
Practice Phone: 303-650-4460
Practice Fax:

Directions to “CLINICA CAMPESINA FAMILY HEALTH SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.