| Clinica Family Health | |
|
2525 13th St Boulder CO 80304-4104 | |
| (720) 565-4270 | |
| (303) 417-2846 |
| Full Name | Clinica Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2525 13th St, Boulder, 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 1735 S Public Rd Lafayette CO 80026-7093 Ph: () - | Clinica Family Health 2525 13th St Boulder CO 80304-4104 Ph: (720) 565-4270 |
| NPI Number | 1184613234 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 02/24/2022 |
| Medicare PECOS PAC ID | 7315850484 |
|---|---|
| Medicare Enrollment ID | O20080430000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184613234 | NPI | - | NPPES |
| 60689358 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 180376 (Colorado) | Primary |
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