| Pueblo Community College Health Clinic | |
|
900 W Orman Ave Rm Mt118 Pueblo CO 81004-1430 | |
| (719) 543-8711 | |
| Not Available |
| Full Name | Pueblo Community College Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 W Orman Ave Rm Mt118, Pueblo, Colorado |
| Authorized Official Name and Position | Pauline Trujillo (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Contact | 7195438711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Community College Health Clinic 110 E Routt Ave Pueblo CO 81004-2117 Ph: (719) 543-8711 | Pueblo Community College Health Clinic 900 W Orman Ave Rm Mt118 Pueblo CO 81004-1430 Ph: (719) 543-8711 |
| NPI Number | 1316466816 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 09/15/2017 |
| Medicare PECOS PAC ID | 4284543802 |
|---|---|
| Medicare Enrollment ID | O20180522000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316466816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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