| NPI | 1548256522 |
|---|---|
| Other Name | CLINICA CAMPESINA PECOS |
| Entity Type | Organization |
| Authorized Contact | SIMON SMITH CEO 303-665-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CO 0556) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2019-01-28 |