Pueblo Community Health Center INC

NPI #1790966174 in Walsenburg, Colorado

Provider Information

NPI Number
1790966174
Entity Type
Organization
Organization Name
Pueblo Community Health Center INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 14, 2007
Last Updated
Sep 30, 2021

Practice Location

Address
129 KANSAS AVE
ZIP Code
81089-1818
Phone
(719) 738-2718

Authorized Official

Name
MR. 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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