Pueblo Community Health Center Inc.

NPI #1164468336 in Pueblo, Colorado

Provider Information

NPI Number
1164468336
Entity Type
Organization
Organization Name
Pueblo Community Health Center Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
PUEBLO COMMUNITY HEALTH CENTER INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 22, 2006
Last Updated
Sep 24, 2013

Practice Location

Address
1302 E 5TH ST
City
Pueblo
ZIP Code
81001-3754
Phone
(719) 543-8711

Authorized Official

Name
MR. DONALD E MOORE, CEO
Title
CHIEF EXECUTIVE OFFICER
Phone
(719) 543-8718

Specialties & Taxonomy Codes

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

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