CLINICA CAMPESINA FAMILY HEALTH SERVICES (NPI# 1225025406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225025406 |
| Entity Type | Organization |
| Organization Name | CLINICA CAMPESINA FAMILY HEALTH SERVICES |
| Other Organization Name | CLINICA FAMILY HEALTH SERVICES |
| Practice Address |
1735 S Public Rd Ste 100 Lafayette CO 80026-7093 |
| Mailing Address |
1345 Plaza Ct N Suite 1a Lafayette CO 80026-3531 |
| Practice Telephone | 3036653036 |
| Practice Fax Number | 3036659566 |
| Mailing Telephone | 3036653036 |
| Mailing Fax Number | 3036659566 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | SIMON SMITH (CEO) |
| Authorized Official Telephone | 3036653036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0556 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04169041 | 05 |
| Other Name | Type Code |
|---|---|
| Clinica Family Health Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043863020 | Clinica Campesina Family Health Services | Clinic/Center | 9351 Washington St, Thornton, CO 80229-3520 | 2019-07-19 |
| 1790132033 | Clinica Campesina Family Health Services | Clinic/Center | 4869 Broadway St, Boulder, CO 80304-0523 | 2016-05-17 |
| 1144456153 | Clinica Campesina Family Health Services | Pharmacy | 2525 13th St Fl 1, Boulder, CO 80304-4104 | 2009-06-04 |
| 1093702177 | Clinica Campesina Family Health Services | Clinic/Center | 8990 N Washington St, Thornton, CO 80229-4537 | 2005-10-04 |
| 1548256522 | Clinica Campesina Family Health Services | Clinic/Center | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2005-09-23 |
| 1659649135 | Clinica Campesina Family Health Services | Clinic/Center | 1333 Iris Ave, Boulder, CO 80304-2226 | 2011-12-12 |
| 1811279136 | Clinica Campesina Family Health Services | Clinic/Center | 8300 Alcott St, Suite 205, Westminster, CO 80031-4008 | 2011-09-13 |
| 1467627844 | Clinica Campesina Family Health Services | Pharmacy | 8990 Washington St, Thornton, CO 80229-4537 | 2008-04-25 |
| 1558536938 | Clinica Campesina Family Health Services | Pharmacy | 1735 S Public Rd # 100, Lafayette, CO 80026-7093 | 2008-04-25 |
| 1184775959 | Clinica Campesina Family Health Services | Clinic/Center | 1701 W 72nd Ave, 1st Floor, Denver, CO 80221-2721 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CLINICA CAMPESINA FAMILY HEALTH SERVICES | 1735 S Public Rd # 201, Lafayette, CO 80026-7093 |
| Street Address |
1735 S PUBLIC RD STE 100 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-7093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265070569 | Cathy Wing Chan | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2019-12-17 |
| 1609333871 | Jordan Gerard Levandoski | Nurse Practitioner | 1735 S Public Rd Ste 100, Lafayette, CO 80026 | 2019-02-25 |
| 1265907406 | Ciani Kate Sosa | Nurse Practitioner | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2018-10-03 |
| 1750865838 | Chairel Thomas | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2018-09-24 |
| 1639658859 | Miranda Clark | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2018-08-08 |
| 1548705718 | Kalah Ross | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2016-12-27 |
| 1265982193 | Rachel Sobieck | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2016-10-04 |
| 1003361346 | Jessica Jensen | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2016-08-16 |
| 1972956431 | Cara Mcgee | Physician Assistant | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2016-07-20 |
| 1831570217 | Hollyanne Giffin | Social Worker | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
| 1326676479 | Royal Health & Wellness Clinic LLC | Clinic/Center | 108 Riverbirch Dr, Lafayette, LA 70508-1819 | 2020-04-01 |
| 1770118481 | Lazco | Clinic/Center | 1120 W South Boulder Rd Ste 102, Lafayette, CO 80026-8952 | 2020-03-03 |
| 1750941902 | Unity Healthcare LLC | Clinic/Center | 1345 Unity Pl Ste 220, Lafayette, IN 47905-5761 | 2019-06-19 |
| 1942659354 | Michele Mclaverty | Clinic/Center | 379 Castello Rd, Lafayette, CA 94549-5606 | 2016-06-07 |
| 1215385455 | Truth Soldier LLC | Clinic/Center | 1200 W South Boulder Rd Ste 103, Lafayette, CO 80026-2833 | 2016-05-27 |
| 1427425883 | Anu Gupta Desai, M.d., LLC | Clinic/Center | 155 Hospital Dr., Ste 300, Lafayette, LA 70503 | 2015-09-01 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1982045035 | Lafayette Family Healthcare Inc | Clinic/Center | 2008 Eraste Landry Rd, Suite B, Lafayette, LA 70506-1913 | 2013-07-17 |
| 1467710608 | Pediakare De Lousiana | Clinic/Center | 900 Walker Rd, Lafayette, LA 70506-1371 | 2012-04-25 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on CLINICA CAMPESINA FAMILY HEALTH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.