CLINICA CAMPESINA FAMILY HEALTH SERVICES (NPI# 1548256522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548256522 |
| Entity Type | Organization |
| Organization Name | CLINICA CAMPESINA FAMILY HEALTH SERVICES |
| Other Organization Name | CLINICA CAMPESINA PECOS |
| Practice Address |
1701 W 72nd Ave Denver CO 80221-2721 |
| Mailing Address |
1735 S Public Rd Ste 203 Lafayette CO 80026-7093 |
| Practice Telephone | 3036504460 |
| Practice Fax Number | 3036506830 |
| Mailing Telephone | 3036653036 |
| Mailing Fax Number | 3036659566 |
| Enumeration Date | 2005-09-23 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0556 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05638648 | 05 |
| Other Name | Type Code |
|---|---|
| Clinica Campesina Pecos | 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 |
| 1225025406 | Clinica Campesina Family Health Services | Clinic/Center | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2005-10-03 |
| 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 |
1701 W 72ND AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80221-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700422128 | Hilary Feller | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-11-20 |
| 1609421379 | Kylie Ferri | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-08-08 |
| 1144873753 | Rachel Shaffer | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-07-23 |
| 1205308434 | Raquel Fonte Cofield | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-12-28 |
| 1831674274 | Jenni K Polivka | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-10-02 |
| 1407336738 | Kesley Low | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-08-16 |
| 1922504976 | Rene Corral | Pharmacist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-03-30 |
| 1699273888 | Shannon Grossman | Counselor | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-01-23 |
| 1093246837 | Anne Shaffer | Dentist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2017-03-23 |
| 1093251712 | German Cormons | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2017-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073060505 | Sayfon Siamphone | Dental Hygienist | 2220 W 80th Pl, Denver, CO 80221 | 2016-09-01 |
| 1477958445 | Ravid Moshe Gur | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Avenue, Denver, CO 80221 | 2014-11-03 |
| 1447654223 | Rebecca Sonnenburg | Physical Therapy Assistant | 3150 W 63rd Ave, Denver, CO 80221 | 2014-10-22 |
| 1205126463 | Deanne Marie Hufnagel Wingerter | Pediatrics | 4975 Newton St, Denver, CO 80221 | 2011-04-08 |
| 1558662510 | Grant Kinser | Counselor | 4805 Umatilla St, Denver, CO 80221 | 2010-11-08 |
| 1417261207 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 7101 E 128th St., Thornton, CO 80221 | 2010-08-04 |
| 1811211923 | Lymari Diaz | Counselor | 8384 Elati S., Denver, CO 80221 | 2010-03-18 |
| 1881928463 | Jonathan M Sullivan | Case Manager/Care Coordinator | 2829 W 33rd Ave., Denver, CO 80221 | 2009-09-29 |
| 1851536569 | Tyler Stuart Root | Specialist/Technologist, Other | 6696 Warren Dr, Denver, CO 80221 | 2008-12-09 |
| 1851554828 | Jessica J Kraeft | Radiology | 1756 W 67th Ave, Denver, CO 80221 | 2008-07-09 |
| Find all providers in zip 80221 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811404056 | Denver Health & Hospital Authority | Clinic/Center | 4650 Columbine St, Denver, CO 80216-2833 | 2018-01-09 |
| 1467830778 | Denver Health & Hospital Authority | Clinic/Center | 55 S Zuni St, Denver, CO 80223 | 2015-05-07 |
| 1114341963 | Denver Health & Hospital Authority | Clinic/Center | 3950 S Holly St, Denver, CO 80237-1117 | 2014-02-14 |
| 1023432861 | Denver Health Child Advocacy Clinic Dcac | Clinic/Center | 2125 Federal Blvd, Denver, CO 80211-4669 | 2014-02-14 |
| 1477819506 | Colorado Coalition for The Homeless | Clinic/Center | 5050 W Colfax Ave, Denver, CO 80204-1015 | 2012-04-03 |
| 1528337755 | Denver Health and Hospital Authority | Clinic/Center | 4800 Telluride St, Denver, CO 80249-6803 | 2011-12-16 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1366760498 | Denver Health and Hospital Authority | Clinic/Center | 1700 E 28th Ave, Denver, CO 80205-4502 | 2010-05-13 |
| 1144469578 | Colorado Coalition for The Homeless | Clinic/Center | 1001 Park Ave W, Denver, CO 80205-2605 | 2009-02-09 |
| 1477679959 | Metro Community Provider Network, Inc. | Clinic/Center | 2255 S Oneida St, Denver, CO 80224-2522 | 2007-03-22 |
| Find all providers in DENVER | ||||
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| 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.