Pueblo Community Health Center, INC

NPI #1144589425 in Pueblo, Colorado

Provider Information

NPI Number
1144589425
Entity Type
Organization
Organization Name
Pueblo Community Health Center, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 8, 2012
Last Updated
Sep 6, 2013

Practice Location

Address
1008 N GRAND AVE
City
Pueblo
ZIP Code
81003-2916
Phone
(719) 543-8718

Authorized Official

Name
DONALD MOORE
Title
CEO
Phone
(719) 543-8718

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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