| Clinica Family Health & Wellness | |
|
1735 S Public Rd Ste 100 Lafayette CO 80026-7093 | |
| (303) 665-9310 | |
| (303) 926-0363 |
| Full Name | Clinica Family Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1735 S Public Rd Ste 100, Lafayette, Colorado |
| Authorized Official Name and Position | Brian J Johnston (CFO) |
| Authorized Official Contact | 3039260625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Family Health & Wellness 1735 S Public Rd Ste 203 Lafayette CO 80026-7093 Ph: (303) 665-3036 | Clinica Family Health & Wellness 1735 S Public Rd Ste 100 Lafayette CO 80026-7093 Ph: (303) 665-9310 |
| NPI Number | 1831186915 |
|---|---|
| Provider Enumeration Date | 10/04/2005 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 7315850484 |
|---|---|
| Medicare Enrollment ID | O20040929000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831186915 | NPI | - | NPPES |
| 05638259 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0556 (Colorado) | Primary |
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