| Castillo Primary Care | |
|
1401 Anita St Pueblo CO 81001-2122 | |
| (719) 225-6510 | |
| (719) 542-3514 |
| Full Name | Castillo Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 Anita St, Pueblo, Colorado |
| Authorized Official Name and Position | Pauline S. Castillo (OWNER/PROVIDER) |
| Authorized Official Contact | 7192256510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castillo Primary Care 1401 Anita St Pueblo CO 81001-2122 Ph: (719) 225-6510 | Castillo Primary Care 1401 Anita St Pueblo CO 81001-2122 Ph: (719) 225-6510 |
| NPI Number | 1912293374 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 06/23/2011 |
| Medicare PECOS PAC ID | 0547558876 |
|---|---|
| Medicare Enrollment ID | O20161019001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912293374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4815 (Colorado) | Primary |
| Provider Name | Valarie A Mills |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144297185 PECOS PAC ID: 1951209337 Enrollment ID: I20200914002272 |
| Provider Name | Patricia Donegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679267090 PECOS PAC ID: 4486015120 Enrollment ID: I20230727004132 |
Lake Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Lake Ave, Pueblo, CO 81004 Phone: 719-564-0300 Fax: 719-564-0303 | |
Risley School Based Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 N Monument Ave, Pueblo, CO 81001 Phone: 719-543-8711 Fax: 719-543-5340 | |
Digestive Diseases Specialists Of Colorado,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Suite 440, Pueblo, CO 81003 Phone: 719-543-3500 Fax: 719-543-3504 | |
Aleracare Of Colorado, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 Fortino Blvd, Pueblo, CO 81008 Phone: 888-209-8874 | |
Parkview Ancillary Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 West 15th Street, Ste. 300, Pueblo, CO 81003 Phone: 719-542-1696 Fax: 719-542-1698 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 N Elizabeth St, Pueblo, CO 81008 Phone: 719-545-0788 | |
Front Range Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 E Routt Ave, Pueblo, CO 81004 Phone: 720-808-0051 |