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PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT NPI 1245228022


NPI Information

NPI: 1245228022
Provider Name: PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT

Former Legal Business Name: PUEBLO CITY COUNTY HEALTH DEPARTMENT

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

CLIA Number: 06D0665091

Address:
101 W 9TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 583-4300
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PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT is a public health and state or local clinic center in Pueblo, CO. PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT NPI is 1245228022. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pueblo City County Health Department.

The provider's business location address is:

101 W 9TH ST
PUEBLO, CO
ZIP 81003-103
Phone: (719) 583-4300
Fax: (719) 583-4527

The provider's authorized official is Christopher Eugene Urbina .
The authorized official title is Public Health Medical Officer and has the following contact phone number (303) 981-9985.

The CLIA number assigned to this NPI record is 06D0665091 - public health laboratory with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2005 and was last updated on 9/18/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP0905XClinic/CenterPublic Health, State or LocalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104005609MEDICAIDCOLORADO
204416095MEDICAIDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.