SOUTHERN COLORADO CLINIC PC NPI 1528828837

NPI Information

  • NPI: 1528828837
  • Provider Name: SOUTHERN COLORADO CLINIC PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 06D2302116
  • Address: 2403 SANTA FE DR STE 7
    PUEBLO, CO
    ZIP 81006
  • Phone: (719) 553-2200

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NPI Details

SOUTHERN COLORADO CLINIC PC 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). SOUTHERN COLORADO CLINIC PC NPI is 1528828837. The provider is registered as an organization entity type.

The provider's business location address is:

2403 SANTA FE DR STE 7
PUEBLO, CO
ZIP 81006-497
Phone: (719) 553-2200

The provider's authorized official is Evangeline (evie) Harris .
The authorized official title is CREDENTIALING SPECIALISTSpecialist and has the following contact phone number (719) 553-1804.

The CLIA number assigned to this NPI record is 06D2302116 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/21/2024 and was last updated on 3/26/2024.

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
1261Q00000XClinic/CenterYes

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

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