NPI | 1831186915 |
---|---|
Other Name | CLINICA CAMPESINA - LAFAYETTE |
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 | 2005-10-04 |
Last Update Date | 2019-01-28 |