| Central High School Sbwc | |
|
216 E Orman Ave Pueblo CO 81004-2144 | |
| (719) 543-8711 | |
| (719) 543-0171 |
| Full Name | Central High School Sbwc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 216 E Orman Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Donald Moore (CEO) |
| Authorized Official Contact | 7195438711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central High School Sbwc 110 E Routt Ave Pueblo CO 81004-2117 Ph: (719) 543-8711 | Central High School Sbwc 216 E Orman Ave Pueblo CO 81004-2144 Ph: (719) 543-8711 |
| NPI Number | 1700139813 |
|---|---|
| Provider Enumeration Date | 10/26/2012 |
| Last Update Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700139813 | NPI | - | NPPES |
| 04257871 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 | |
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 | |
Health Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 |