| Pueblo Department Of Public Health And Environment | |
|
101 W 9th St Pueblo CO 81003-4103 | |
| (719) 583-4300 | |
| (719) 583-4527 |
| Full Name | Pueblo Department Of Public Health And Environment |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 101 W 9th St, Pueblo, Colorado |
| Authorized Official Name and Position | Christopher Eugene Urbina (PUBLIC HEALTH MEDICAL OFFICER) |
| Authorized Official Contact | 3039819985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Department Of Public Health And Environment 101 W 9th St Pueblo CO 81003-4103 Ph: (719) 583-4300 | Pueblo Department Of Public Health And Environment 101 W 9th St Pueblo CO 81003-4103 Ph: (719) 583-4300 |
| NPI Number | 1245228022 |
|---|---|
| Provider Enumeration Date | 10/06/2005 |
| Last Update Date | 09/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245228022 | NPI | - | NPPES |
| 04416095 | Medicaid | CO | |
| 04005609 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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