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Clinica Campesina Family Health Services

Organization Active NPI Family Nurse Practitioner · Thornton, CO

NPI 1013942234 · NPPES record last updated Feb 24, 2022

Key facts

NPI
1013942234
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
58060 (CO)
Legal business name
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Practice address
8990 N Washington St
Thornton, CO 80229-4537
Phone
(720) 929-1421
NPI assigned
Jul 12, 2006
Organization subpart
No

Authorized official

Name
Brian J Johnston
Title
Cfo
Phone
(303) 926-0625

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2203645Clinica Family Health Services - Thornton
8990 Washington Street, Thornton, CO 80229		Provider-performed microscopyDec 3, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031106000276 CO Part B Supplier - Clinic/Group Practice 7315850484 Receives reassigned benefits from 246 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Broomfield, CO; Longmont, CO; Lafayette, CO; Boulder, CO

National Provider Directory

Tax ID family
Clinica Campesina Fmly HLTH (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X 58060 CO Yes

Addresses

Primary practice location

8990 N Washington St
Thornton, CO 80229-4537

Mailing address

1735 S Public Rd Ste 203
Lafayette, CO 80026-7093
Phone (303) 665-3036

Other identifiers

IdentifierTypeStateIssuer
03156877MedicaidCO

Other names

  • Clinica Family Health Doing business as

Other providers in Thornton, CO

All providers in Thornton, CO · Family Nurse Practitioner in Colorado

Sources for this page

Verify at the official NPI Registry.