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 |
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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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