| Clinica Family Health | |
|
4869 Broadway St Boulder CO 80304-0523 | |
| (303) 650-4460 | |
| Not Available |
| Full Name | Clinica Family Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4869 Broadway St, Boulder, Colorado |
| Authorized Official Name and Position | Simon Smith (CEO) |
| Authorized Official Contact | 3036504460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Family Health 1735 S Public Rd Ste 203 Lafayette CO 80026-7093 Ph: (303) 650-4460 | Clinica Family Health 4869 Broadway St Boulder CO 80304-0523 Ph: (303) 650-4460 |
| NPI Number | 1790132033 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 01/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790132033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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