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CH08165N CLINICA CAMPESINA FAMILY HEALTH SERVICES (Terminated)
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Main Details
Name
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Subdivision Name
Clinica Family Health Services Federal Heights
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011081
340B ID
CH08165N
Grant Number
H80CS00690
Additional Details
Current Program Status
Terminated
Registration Date
1/17/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/26/2012
Last Recertification Date
2/16/2017
Termination Date
Termination Reason
1/1/2018
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
8300 Alcott St STE 205
Westminster, CO 80031-4029
Billing Address
Clinica Family Health
1345 Plaza Ct N
Lafayette, CO 80026
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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