Clinica Campesina Pecos

LBN: Clinica Campesina Family Health Services
Clinica Campesina Pecos is an health care organization with primary practice located at 1701 W 72Nd Ave , Denver CO 80221-2721. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Clinica Campesina Family Health Services can be contacted via phone (303) 650-4460, or through Smith, Simon via phone (303) 665-3036.

Contact Information

Primary practice address
1701 W 72Nd Ave Denver CO 80221-2721
Phone: (303) 650-4460
Fax: (303) 650-6830
Website:
Map and Directions
Authorized official contact:
Name: Smith, Simon
Phone: (303) 665-3036

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 0556 Colorado

Profile Details

NPI number 1548256522
LBN Legal business name Clinica Campesina Family Health Services
DBA Doing business as Clinica Campesina Pecos
Authorized official Smith, Simon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Jan 28th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548256522 NPPES
Colorado MEDICAID 05638648

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