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AFFORDABLE HEALTH CLINIC LLC NPI 1306184056


NPI Information

NPI: 1306184056
Provider Name: AFFORDABLE HEALTH CLINIC, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 06D2051834

Address:
900 INDIANA AVE ST D
PUEBLO, CO
ZIP 81004
Phone: (719) 924-9021
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AFFORDABLE HEALTH CLINIC, LLC is a clinic center in Pueblo, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AFFORDABLE HEALTH CLINIC, LLC NPI is 1306184056. The provider is registered as an organization entity type.

The provider's business location address is:

900 INDIANA AVE ST D
PUEBLO, CO
ZIP 81004-100
Phone: (719) 924-9021
Fax: (719) 924-9166

The provider's authorized official is Dawn Leslie Evert .
The authorized official title is Owner and has the following contact phone number (719) 924-9021.

The CLIA number assigned to this NPI record is 06D2051834 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2013 and was last updated on 10/6/2020.


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
1261Q00000XClinic/Center81123COLORADOYes

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.