Pueblo Community Health Center Inc.

NPI #1245275932 in Pueblo, Colorado

Provider Information

NPI Number
1245275932
Entity Type
Organization
Organization Name
Pueblo Community Health Center Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 18, 2006
Last Updated
Sep 23, 2013

Practice Location

Address
2030 LAKE AVENUE
City
Pueblo
ZIP Code
81004
Phone
(719) 543-8711

Authorized Official

Name
MR. DONALD MOORE, CEO
Title
CEO
Phone
(719) 543-8711

Specialties & Taxonomy Codes

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

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