Organization · NPI-2

Clinica Campesina Family Health Services

Clinic/Center, Mental Health (Including Community Mental Health Center) · Longmont, CO

NPI number1205724481
StatusActive
Last updated in NPPESJun 25, 2025

Details

NPI
1205724481
Entity type
Organization (NPI-2)
Legal business name
Clinica Campesina Family Health Services
Organization subpart
No
Enumeration date
Jun 25, 2025
Certification date
Jun 25, 2025
Last updated
Jun 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Other names

  • Mental Health Partners (Doing Business As)
  • Clinica Family Health And Wellness (Doing Business As)

Practice location

515 Coffman St
Longmont, CO 80501-5455

Phone 303-443-8500 · Fax 720-687-2752

Mailing address

1455 Dixon Ave
Lafayette, CO 80026-8879

Phone 303-443-8500 · Fax 720-687-2752

Authorized official

Brian J Johnston
Cfo
3039260625

Is something wrong?

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