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CH08165M Clinica Campesina Family Health Services (Active)
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Main Details
Name
Clinica Campesina Family Health Services
Subdivision Name
Clinica Family Health - People's
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008441
340B ID
CH08165M
Grant Number
H80CS00690
Additional Details
Current Program Status
Active
Registration Date
3/13/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/13/2008
Last Recertification Date
2/12/2025
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
2525 13th St
Boulder, CO 80304
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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6/19/09 SUB DIV/PHYS ADDR CHANGE (WAS 3303 N BROADWAY)
06/19/2009
April 2025
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