PUEBLO COUNTY NPI 1336365600

NPI Information

NPI: 1336365600
Provider Name: PUEBLO COUNTY
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
:
CLIA Number: 06D1052617
Address: 212 W 12TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 583-6179

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NPI Details

PUEBLO COUNTY is a public health or welfare in Pueblo, CO. PUEBLO COUNTY NPI is 1336365600. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

212 W 12TH ST
PUEBLO, CO
ZIP 81003-975
Phone: (719) 583-6179
Fax: (719) 583-6174

The provider's authorized official is Sharon J Ellis .
The authorized official title is Chief Finance Officer and has the following contact phone number (719) 583-6179.

The CLIA number assigned to this NPI record is 06D1052617 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 9/11/2025.

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	343900000X	Non-emergency Medical Transport (VAN)				No
2	251K00000X	Public Health or Welfare			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	Other Provider Identifier Issuer
1	06200513	MEDICAID	COLORADO
2	09000514	MEDICAID	COLORADO

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: 11/21/2025

NPI Synchronization or Removal

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