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Gateway To Success, Pc
Medical Specialty Clinic/Center in Pueblo, Colorado
NPI 1770958423

Gateway To Success, Pc is a Medical Specialty Clinic/Center based in Canon City, CO and is specialized in Medical Specialty. Gateway To Success, Pc practices in Pueblo, CO. The NPI Number for Gateway To Success, Pc is 1770958423 and holds a License No. (Colorado).

The current practice location address for Gateway To Success, Pc is 2429 S Prairie Ave, Pueblo, CO and can be reached out via phone at 719-564-5070 and via fax at 719-896-2874.

Location: 2429 S Prairie Ave, Pueblo, CO, 81215-1748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770958423
Provider Name
Gateway To Success, Pc
Credential
Provider Entity Type
Organization
Address
2429 S Prairie Ave, Pueblo, CO, 81215-1748
Phone Number
719-564-5070
Fax Number
719-896-2874
Provider Enumeration Date
12/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
90000128872 05 CO
institution
Provider Business Practice Location Address Details
Address
2429 S Prairie Ave
City
Pueblo
State
Colorado
Zip
81005-2886
Phone Number
719-564-5070
Fax Number
719-896-2874
person
Provider Business Mailing Address Details
Address
2429 S Prairie Ave
City
Pueblo
State
Colorado
Zip
81005-2886
Phone Number
719-564-5070
Fax Number
719-896-2874
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
(Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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