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CH08165AC CLINICA CAMPESINA/FAMILY HEALTH SERVICES (Active)
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Main Details
Name
CLINICA CAMPESINA/FAMILY HEALTH SERVICES
Subdivision Name
Clinica Family Health & Wellness -- Norton Center for Behavioral Medicine
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039441
340B ID
CH08165AC
Grant Number
H80CS00690
Additional Details
Current Program Status
Active
Registration Date
1/9/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/29/2025
Last Recertification Date
Contacts
Authorizing Official
Clinica Campesina Family Health Services
Simon Smith, CEO
(303) 665-3036 Ext: 1003
Primary Contact
Clinica Campesina Family Health Services
Melinda Gonzales, Pharmacy Director
(303) 665-3036 Ext: 2840
Addresses
Street Address
975 North St
Boulder, CO 80304-3279
Billing Address
Clinica Campesina Family Health Services
1735 S Public Rd
Lafayette, CO 80026
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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