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Clinica Campesina Family Health Services

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Boulder, CO

NPI 1023855087 · NPPES record last updated Dec 17, 2024

Key facts

NPI
1023855087
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Practice address
1000 Alpine Ave
Boulder, CO 80304-3406
Phone
(303) 443-8500
Fax
(720) 687-2752
NPI assigned
Jul 9, 2024
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 13

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

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)

Locations

1000 Alpine Ave
Boulder, CO 80304
Phone (303) 332-1250

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

1000 Alpine Ave
Boulder, CO 80304-3406

Mailing address

1455 Dixon Ave
Lafayette, CO 80026-8879
Phone (303) 443-8500

Other names

  • Clinica Family Health and Wellness Doing business as
  • Mental Health Partners Doing business as
  • Mental Health Center of Boulder County, Inc. Former legal business name

Other providers in Boulder, CO

All providers in Boulder, CO · Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

Sources for this page

Verify at the official NPI Registry.