PUEBLO COMMUNITY HEALTH CENTER INC NPI 1720432610

NPI Information

NPI: 1720432610
Provider Name: PUEBLO COMMUNITY HEALTH CENTER, INC

Other Name: CENTENNIAL HS SBWC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2525 MOUNTVIEW DR
PUEBLO, CO
ZIP 81008
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 1720432610. The provider is registered as an organization entity type.
The provider Other Name Is Centennial Hs Sbwc.

The provider's business location address is:

2525 MOUNTVIEW DR
PUEBLO, CO
ZIP 81008-431
Phone: (719) 543-8711

The provider's authorized official is Donald Moore .
The authorized official title is Chief Executive Officer and has the following contact phone number (719) 543-8711.

The enumeration date for this NPI number is 4/18/2016 and was last updated on 4/18/2016.

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)			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	05638275	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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »