Clinica Campesina Family Health Services

NPI #1023855087 in Boulder, Colorado

Provider Information

NPI Number: 1023855087
Entity Type: Organization
Organization Name: Clinica Campesina Family Health Services
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 9, 2024
Last Updated: Dec 17, 2024

Practice Location

Address: 1000 ALPINE AVE
City: Boulder
State: Colorado
ZIP Code: 80304-3406
Phone: (303) 443-8500

Authorized Official

Name: BRIAN J JOHNSTON
Title: CFO
Phone: (303) 926-0625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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