CLINICA CAMPESINA FAMILY HEALTH SERVICES (NPI# 1659649135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659649135 |
| Entity Type | Organization |
| Organization Name | CLINICA CAMPESINA FAMILY HEALTH SERVICES |
| Other Organization Name | CLINICA FAMILY HEALTH SERVICES |
| Practice Address |
1333 Iris Ave Boulder CO 80304-2226 |
| Mailing Address |
1345 Plaza Ct N 1a Lafayette CO 80026-3531 |
| Practice Telephone | 3036653036 |
| Mailing Telephone | 3036653036 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |
| Authorized Official Name | PETE LIEBIG (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) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clinica Family Health Services | 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 |
| 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 |
1333 IRIS AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606521 | Karen Breunig Hine | Nurse Practitioner | 1333 Iris Ave, Boulder, CO 80304-2226 | 2005-08-12 |
| 1194209106 | Philippa Tucker | Student in an Organized Health Care Education/Training Program | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-09-17 |
| 1942781174 | Victoria Abbey | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-08-26 |
| 1669966768 | Natalie Lamolinara | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-06-21 |
| 1285126854 | Jennifer Egloff | Social Worker | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-30 |
| 1790276624 | Johanna B Grube | Student in an Organized Health Care Education/Training Program | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-26 |
| 1578053930 | Leane Marie Vasquez | Peer Specialist | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-11 |
| 1730678749 | Jennifer Cullom | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-04 |
| 1366931735 | Amanda Cantu | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-01 |
| 1679060545 | Purnima Jagtap | Social Worker | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-04-17 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| 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 |
|---|---|---|---|---|
| 1790132033 | Clinica Campesina Family Health Services | Clinic/Center | 4869 Broadway St, Boulder, CO 80304-0523 | 2016-05-17 |
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|---|---|---|---|---|
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| 1225640931 | Valley-wide Health Systems, Inc. | Clinic/Center | 1215 Main St Ste B, Canon City, CO 81212-3505 | 2020-08-24 |
| 1568073229 | Mountain Family Health Centers | Clinic/Center | 2270 Highway 133, Carbondale, CO 81623-9271 | 2020-08-14 |
| 1912515735 | Peak Vista Community Health Centers | Clinic/Center | 423 E Cucharras St Ste 2, Colorado Springs, CO 80903-3609 | 2020-07-17 |
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1548897648 | Plan De Salud Del Valle, Inc | Clinic/Center | 709 E Riverview Ave # 201, Fort Morgan, CO 80701-3263 | 2020-03-26 |
| 1093345886 | Marillac Clinic, Inc. | Clinic/Center | 550 Warrior Way, Grand Junction, CO 81504-6401 | 2020-01-21 |
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
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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.