PUEBLO COMMUNITY HEALTH CENTER NPI 1912251927

NPI Information

NPI: 1912251927
Provider Name: PUEBLO COMMUNITY HEALTH CENTER

Other Name: FREED SCHOOL BASED WELLNESS CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
715 W 20TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 543-8711
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PUEBLO COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Pueblo, CO. PUEBLO COMMUNITY HEALTH CENTER NPI is 1912251927. The provider is registered as an organization entity type.
The provider Other Name Is Freed School Based Wellness Center.

The provider's business location address is:

715 W 20TH ST
PUEBLO, CO
ZIP 81003-052
Phone: (719) 543-8711
Fax: (719) 543-5340

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

The enumeration date for this NPI number is 10/30/2012 and was last updated on 11/19/2012.

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

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

NPI Synchronization or Removal

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