institution
Pueblo Community Health Center Inc
Federally Qualified Health Center (FQHC) in Walsenburg, Colorado
NPI 1790966174

Pueblo Community Health Center Inc is a Federally Qualified Health Center (FQHC) based in Pueblo, CO and is specialized in Federally Qualified Health Center (FQHC). Pueblo Community Health Center Inc practices in Walsenburg, CO. The NPI Number for Pueblo Community Health Center Inc is 1790966174 and holds a License No. 180635 (Colorado).

The current practice location address for Pueblo Community Health Center Inc is 129 Kansas Ave, Walsenburg, CO and can be reached out via phone at 719-738-2718 and via fax at 719-738-2732.

Location: 129 Kansas Ave, Walsenburg, CO, 81004-2117
institution
Provider Profile Details
NPI Number
1790966174
Provider Name
Pueblo Community Health Center Inc
Credential
Provider Entity Type
Organization
Address
129 Kansas Ave, Walsenburg, CO, 81004-2117
Phone Number
719-738-2718
Fax Number
719-738-2732
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05638275 05 CO
institution
Provider Business Practice Location Address Details
Address
129 Kansas Ave
City
State
Zip
81089-1818
Phone Number
719-738-2718
Fax Number
719-738-2732
person
Provider Business Mailing Address Details
Address
129 Kansas Ave
City
State
Zip
81089-1818
Phone Number
719-738-2718
Fax Number
719-738-2732
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
180635 (Colorado)
Definition
Definition to come...
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