PUEBLO COMMUNITY HEALTH CENTER INC. NPI 1164468336

NPI Information

NPI: 1164468336
Provider Name: PUEBLO COMMUNITY HEALTH CENTER INC.

Other Name: PARKHILL CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1302 E 5TH ST
PUEBLO, CO
ZIP 81001
Phone: (719) 543-8711
Get Directions

PUEBLO COMMUNITY HEALTH CENTER INC. is a federally qualified health center (fqhc) clinic center in Pueblo, CO. PUEBLO COMMUNITY HEALTH CENTER INC. NPI is 1164468336. The provider is registered as an organization entity type.
The provider Other Name Is Parkhill Clinic.

The provider's business location address is:

1302 E 5TH ST
PUEBLO, CO
ZIP 81001-754
Phone: (719) 543-8711
Fax: (719) 543-5340

The provider's authorized official is Donald E Moore .
The authorized official title is Chief Executive Officer and has the following contact phone number (719) 543-8718.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 9/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	0849	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	05638275	MEDICAID	COLORADO
2	CR9008	MEDICARE PIN	COLORADO
3	061874	MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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