Organization · Type 2 NPI

Clinica Campesina Family Health Services

Mental Health Clinic/Center (Including Community Mental Health Center) · Broomfield, CO

NPI number 1124866801 Active

Practice location

897 US Hwy 287, Suite 200
Broomfield, CO 80020

Call (303) 443-8500 Map

Fax (720) 687-2752

Mailing address

1455 Dixon Ave
Lafayette, CO 80026-8879

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC)	261QF0400X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Broomfield

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NPI record

NPI: 1124866801
Entity type: Organization (Type 2)
Issued: Jul 17, 2024
Last updated: Dec 17, 2024
Status: Active

Other names

<unavail>
Clinica Family Health and Wellness · doing business as
Mental Health Partners · doing business as
Mental Health Center of Boulder County, Inc. · former legal business name

Authorized official

Brian J Johnston
CFO
(303) 926-0625

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124866801

Clinica Campesina Family Health Services's National Provider Identifier is 1124866801, issued on Jul 17, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Broomfield, CO. The record was last updated on Dec 17, 2024.