Clinica Campesina Family Health Services
NPI 1184613234ActiveOrganization· Clinic/Center· Boulder, CO
Clinic/Center in Boulder, Colorado, registered in NPPES in October 2005, part of Clinica Campesina Family Health Services. The authorized official on file is Brian J. Johnston, Cfo. Enrolled in Medicare as part a provider - federally qualified health center (fqhc).
Overview
| NPI | 1184613234 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Clinica Campesina Family Health Services |
| NPI issued | Oct 20, 2005 |
| Last updated in NPPES | Feb 24, 2022 |
| Certified by provider | Feb 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 180376 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Federally Qualified Health Center (FQHC) (CO) |
|---|
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