PUEBLO COMMUNITY HEALTH CENTER


Address: 206 E Orman, Pueblo, CO 81004
Phone: 7195438711

PUEBLO COMMUNITY HEALTH CENTER (NPI# 1700139813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700139813
Entity Type Organization
Organization Name PUEBLO COMMUNITY HEALTH CENTER
Other Organization Name CENTRAL HIGH SCHOOL SBWC
Practice Address 206 E Orman
Pueblo
CO 81004
Mailing Address 110 E Routt Ave
Pueblo
CO 81004-2117
Practice Telephone 7195438711
Practice Fax Number 7195435340
Mailing Telephone 7195438711
Mailing Fax Number 7195435340
Enumeration Date 2012-10-26
Last Update Date 2012-11-19
Authorized Official Name DONALD MOORE (CEO)
Authorized Official Telephone 7195438711
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Central High School SBWC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649524653 Pueblo Community Health Center Clinic/Center 9 Macneil Rd, Pueblo, CO 81001-1931 2012-10-30
1912251927 Pueblo Community Health Center Clinic/Center 715 W 20th St, Pueblo, CO 81003-4052 2012-10-30
1013261023 Pueblo Community Health Center Clinic/Center 625 N Monument Ave, Pueblo, CO 81001-5706 2012-10-30
1396098828 Pueblo Community Health Center Clinic/Center 1050 35th Ln, Pueblo, CO 81006-9426 2012-10-22
1013271329 Pueblo Community Health Center Health Maintenance Organization 300 Colorado Ave, Pueblo, CO 81004-2006 2012-07-02

Office Location

Street Address 206 E ORMAN
City PUEBLO
State CO
Zip Code 81004

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780155929 Renee C Lane Nurse Practitioner 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 2018-12-16
1215406913 Kaiser Foundation Healthplan of Colorado Pharmacy 2625 W. Pueblo Blvd, Pueblo, CO 81004 2018-11-26
1053895532 Rebecka Ann Reatherford Nurse Practitioner St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 2018-09-20
1124510821 Angela M Sillas-green Counselor 327 Colorado Ave., Pueblo, CO 81004 2018-05-30
1558898569 Alexandra R B King Family Medicine Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 2017-05-22
1578098752 James Williams Counselor 414 Broadway Ave, Pueblo, CO 81004 2017-04-26
1740732601 Valerie A Senger Counselor 635 W Corona Ave Ste 214, Pueblo, CO 81004 2016-10-26
1194111500 A New Leaf Therapy, Pllc Community/Behavioral Health 327 Colorado Ave, Pueblo, CO 81004 2015-04-13
1619371671 Mariah Mcginnis Registered Nurse 1232 Van Buren St., Pueblo, CO 81004 2014-10-20
1730593112 Maritza Martinez Registered Nurse 1026 Wabriendo Ave, Pueblo, CO 81004 2014-06-13
Find all providers in zip 81004

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326607169 Pueblo Community Health Center, Inc Clinic/Center 2500 W 18th St Bldg 11, Pueblo, CO 81003-1152 2019-06-06
1316466816 Pueblo Community Health Center Inc Clinic/Center 900 W Orman Ave Rm Mt118, Pueblo, CO 81004-1430 2017-09-15
1720432610 Pueblo Community Health Center, Inc Clinic/Center 2525 Mountview Dr, Pueblo, CO 81008-1431 2016-04-18
1649524653 Pueblo Community Health Center Clinic/Center 9 Macneil Rd, Pueblo, CO 81001-1931 2012-10-30
1912251927 Pueblo Community Health Center Clinic/Center 715 W 20th St, Pueblo, CO 81003-4052 2012-10-30
1013261023 Pueblo Community Health Center Clinic/Center 625 N Monument Ave, Pueblo, CO 81001-5706 2012-10-30
1396098828 Pueblo Community Health Center Clinic/Center 1050 35th Ln, Pueblo, CO 81006-9426 2012-10-22
1245275932 Pueblo Community Health Center Inc. Clinic/Center 2030 Lake Avenue, Pueblo, CO 81004 2006-06-18
1144589425 Pueblo Community Health Center, Inc Clinic/Center 1008 N Grand Ave, Pueblo, CO 81003-2916 2012-05-08
1245253145 Pueblo Community Health Center Inc. Clinic/Center 110 E Routt Ave, Pueblo, CO 81004-2117 2006-07-25
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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