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CH08165U Clinica Campesina Family Health Services (Active)
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Main Details
Name
Clinica Campesina Family Health Services
Subdivision Name
Clinica Family Health - Gilpin County
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034383
340B ID
CH08165U
Grant Number
H80CS00690
Additional Details
Current Program Status
Active
Registration Date
8/10/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/22/2022
Last Recertification Date
2/11/2025
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
972 Golden Gate Canyon Rd STE 300
Black Hawk, CO 80422
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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