| Clinica Campesina Family Health Services | |
|
972 Golden Gate Canyon Rd Black Hawk CO 80422-8993 | |
| (303) 650-4460 | |
| Not Available |
| Full Name | Clinica Campesina Family Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 972 Golden Gate Canyon Rd, Black Hawk, Colorado |
| Authorized Official Name and Position | Brian J Johnston (CFO) |
| Authorized Official Contact | 3039260625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Campesina Family Health Services 1735 S Public Rd Lafayette CO 80026-7093 Ph: (303) 926-0625 | Clinica Campesina Family Health Services 972 Golden Gate Canyon Rd Black Hawk CO 80422-8993 Ph: (303) 650-4460 |
| NPI Number | 1780337063 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 01/27/2022 |
| Medicare PECOS PAC ID | 7315850484 |
|---|---|
| Medicare Enrollment ID | O20220811001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780337063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mountain Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Gregory Street, Black Hawk, CO 80422 Phone: 303-582-5276 Fax: 303-582-1003 | |
Mountain Family Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Gregory St, Black Hawk, CO 80422 Phone: 303-582-5276 Fax: 303-582-3929 |