| Clinica Campesina Family Health Services | |
|
975 North St Boulder CO 80304-3279 | |
| (303) 443-8500 | |
| Not Available |
| Full Name | Clinica Campesina Family Health Services |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 975 North St, Boulder, Colorado |
| Authorized Official Name and Position | Brian J Johnston (CFO) |
| Authorized Official Contact | 3039260625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Campesina Family Health Services 1455 Dixon Ave Lafayette CO 80026-8879 Ph: (303) 443-8500 | Clinica Campesina Family Health Services 975 North St Boulder CO 80304-3279 Ph: (303) 443-8500 |
| NPI Number | 1285222364 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285222364 | NPI | - | NPPES |
| 04988085 | Medicaid | CO |
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