CLINICA CAMPESINA FAMILY HEALTH SERVICES (NPI# 1184775959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184775959 |
| Entity Type | Organization |
| Organization Name | CLINICA CAMPESINA FAMILY HEALTH SERVICES |
| Practice Address |
1701 W 72nd Ave 1st Floor Denver CO 80221-2721 |
| Mailing Address |
1735 S Public Rd Ste 203 Lafayette CO 80026-7093 |
| Practice Telephone | 7202070150 |
| Practice Fax Number | 3036502557 |
| Mailing Telephone | 3036653036 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-01-30 |
| NPI Deactivation Date | 06/03/2008 |
| NPI Reactivation Date | 2008-07-21 |
| Authorized Official Name | MR. SIMON SMITH (CEO) |
| Authorized Official Telephone | 3036653036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
535 | CO | Ambulatory Health Care Facilities |
| 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 |
| 1558536938 | Clinica Campesina Family Health Services | Pharmacy | 1735 S Public Rd # 100, Lafayette, CO 80026-7093 | 2008-04-25 |
| 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 1ST FLOOR |
| City | DENVER |
| State | CO |
| Zip Code | 80221-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256522 | Clinica Campesina Family Health Services | Clinic/Center | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2005-09-23 |
| 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 |
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972129 | Fmc-cahep Aurora | Clinic/Center | 5250 Leetsdale Dr Ste 110, Denver, CO 80246-1450 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548613409 | Mountain Family Health Centers | Clinic/Center | 0850 West Beaver Creek Blvd, Avon, CO 81620 | 2016-07-15 |
| 1437575792 | Summit Community Care Clinic, Inc. | Clinic/Center | 158 School Road, Frisco, CO 80443 | 2014-03-11 |
| 1588080956 | Summit Community Care Clinic, Inc. | Clinic/Center | 0108 Deerpath Road, Dillon, CO 80435 | 2014-03-10 |
| 1821414293 | Summit Community Care Clinic, Inc. | Clinic/Center | 101 Hamilton Creek Road, Silverthorne, CO 80498 | 2014-03-10 |
| 1093901332 | Colorado Wellness Connection, LLC | Clinic/Center | 4960 E Mineral Cir, Centennial, CO 80122-3833 | 2007-09-20 |
| 1750592655 | Open Bible Medical Clinic | Clinic/Center | 555 E Costilla St, Colorado Springs, CO 80903-3764 | 2007-05-24 |
| 1972650307 | Lifehealth LLC | Clinic/Center | 5554 South Prince St, Suite 131, Littleton, CO 80120 | 2007-01-05 |
| 1578625174 | Mountain Family Health Centers | Clinic/Center | 20 E. Lakeview Dr., Suite 205, Nederland, CO 80466-0009 | 2006-12-14 |
| 1073693677 | Northwest Colorado Visiting Nurse Association | Clinic/Center | 745 Russell Steet, Craig, CO 81625-2019 | 2006-10-17 |
| 1730126558 | Christian Healing Network | Clinic/Center | 2125 E La Salle St, Colorado Springs, CO 80909-2274 | 2006-06-01 |
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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.