CLINICA CAMPESINA FAMILY HEALTH SERVICES (NPI# 1558536938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558536938 |
| Entity Type | Organization |
| Organization Name | CLINICA CAMPESINA FAMILY HEALTH SERVICES |
| Other Organization Name | CLINICA CAMPESINA LAFAYETTE |
| Practice Address |
1735 S Public Rd # 100 Lafayette CO 80026-7093 |
| Mailing Address |
1735 S Public Rd Ste 203 Lafayette CO 80026-7093 |
| Practice Telephone | 3036659310 |
| Practice Fax Number | 3033282691 |
| Mailing Telephone | 3036659310 |
| Mailing Fax Number | 3033282691 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | SIMON SMITH (CEO) |
| Authorized Official Telephone | 3036652962 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
322 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1997828 | 01 |
| Other Name | Type Code |
|---|---|
| CLINICA CAMPESINA LAFAYETTE | Doing Business As Name - 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 |
| 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 |
| 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 # 100 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-7093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167075 | Alex Bulkacz | Family Medicine | 1735 S Public Rd # 100, Lafayette, CO 80026 | 2005-10-10 |
| 1851389209 | Christopher Jon Keenan | Family Medicine | 1735 S Public Rd # 100, Lafayette, CO 80026-7093 | 2005-10-10 |
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1518572049 | Fmol Health Systems | Pharmacy | 4809 Ambassador Caffery Pkwy Ste 120a, Lafayette, LA 70508-8800 | 2020-09-11 |
| 1790021939 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328032 | Denver Health and Hospital Authority | Pharmacy | 1001 Yosemite St Ste 100, Denver, CO 80230-6003 | 2013-12-13 |
| 1932437746 | Peak Vista Community Health Center | Pharmacy | 410 Gold Pass Heights, Colorado Springs, CO 80906 | 2009-12-07 |
| 1942433198 | Battlement Grocery LLC | Pharmacy | 71 Sipprelle Dr, Parachute, CO 81635-9232 | 2009-09-03 |
| 1255470795 | Denver Health and Hospital Authority | Pharmacy | 790 Delaware St, Denver, CO 80204-4532 | 2007-02-05 |
| 1821024258 | The Apothecary | Pharmacy | Wardenburg Health Center, Campus Box 119, Boulder, CO 80309-0001 | 2006-06-25 |
| 1053357855 | Medical Center of The Rockies | Pharmacy | Boulder Health Center Pharmacy, 5495 East Arapahoe Road Suite 101, Boulder, CO 80303 | 2006-06-21 |
| 1225017643 | Vail Clinic, Inc. | Pharmacy | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2006-01-13 |
| 1699382705 | James Lloyd Martin Jr. | Pharmacy | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-23 |
| 1003436536 | Frda Apothecary | Pharmacy | 6801 W 20th St Unit 208, Greeley, CO 80634-9640 | 2020-04-24 |
| 1356995716 | Elevate Clinical Pharmacology Services LLC | Pharmacy | 4020 Palmer Park Blvd Ste 101b, Colorado Springs, CO 80909-3402 | 2019-07-24 |
| Find all providers with the same taxonomy | ||||
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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.