| Pueblo Community Health Center, Inc | |
|
2500 W 18th St Bldg 11 Pueblo CO 81003-1152 | |
| (719) 543-8711 | |
| Not Available |
| Full Name | Pueblo Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2500 W 18th St Bldg 11, Pueblo, Colorado |
| Authorized Official Name and Position | Pauline Trujillo (PATIENT ACCOUNTS SUPERVISOR) |
| Authorized Official Contact | 7195438718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Community Health Center, Inc 110 E Routt Ave Pueblo CO 81004-2117 Ph: (719) 543-8711 | Pueblo Community Health Center, Inc 2500 W 18th St Bldg 11 Pueblo CO 81003-1152 Ph: (719) 543-8711 |
| NPI Number | 1326607169 |
|---|---|
| Provider Enumeration Date | 06/06/2019 |
| Last Update Date | 06/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326607169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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