NPIMap

Organization Active NPI

La Clinica Campesina Family Health Services

  • Community Health Clinic/Center
  • Louisville, CO
National Provider Identifier
1376574228
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
0385 Issued in CO
Legal business name
LA CLINICA CAMPESINA FAMILY HEALTH SERVICES
Practice address
90 Health Park Dr
Louisville, CO 80027-9757
Phone
(303) 665-3036
Fax
(303) 665-3397
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Pete Leibig
Title
Ceo
Phone
(303) 665-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 0385 CO Primary

Addresses

Primary practice location

90 Health Park Dr
Louisville, CO 80027-9757

Mailing address

1345 Plaza CT N
Suite 1a
Lafayette, CO 80026-3531
Phone (303) 665-3036

Other names 1

  • Clinica Campesina Family Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Clinica Campesina Fmly HLTH27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

90 Health Park Dr
Louisville, CO 80027
Phone (303) 426-0215

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376574228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PLAZA CT N",
            "address_2": "SUITE 1A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263531",
            "telephone_number": "303-665-3036",
            "fax_number": "303-665-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-665-3036",
            "fax_number": "303-665-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA CAMPESINA FAMILY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEIBIG",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-665-3036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CO",
            "license": "0385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Campesina Family Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.