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CH081650 CLINICA CAMPESINA FAMILY HEALTH SERVICES (Terminated)
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Main Details
Name
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Subdivision Name
Clinica Family Health- Administration
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002060
340B ID
CH081650
Grant Number
H80CS00690
Additional Details
Current Program Status
Terminated
Registration Date
10/1/1995
Participating Start Date
10/1/1995
Participating Approval Date
10/1/1995
Last Recertification Date
3/6/2018
Termination Date
Termination Reason
1/1/2019
Site closure
Contacts
Authorizing Official
Clinica Campesina Family Health Services
Simon Smith, CEO
(303) 665-3036 Ext: 1003
Primary Contact
Clinica Campesina/Family Health Services
Justin Wheeler, VP of Clinical Services
(303) 665-3036 Ext: 1002
Addresses
Street Address
1345 Plaza Ct N
Lafayette, CO 80026-3531
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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