GATEWAY TO SUCCESS PC NPI 1770958423

NPI Information

GATEWAY TO SUCCESS, PC is a medical specialty clinic center in Pueblo, CO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GATEWAY TO SUCCESS, PC NPI is 1770958423. The provider is registered as an organization entity type.

The provider's business location address is:

2429 S PRAIRIE AVE
PUEBLO, CO
ZIP 81005-886
Phone: (719) 564-5070
Fax: (719) 896-2874

The provider's authorized official is Karen Morgenthaler .
The authorized official title is Executive Director and has the following contact phone number (719) 564-5070.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 8/30/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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