Pueblo Community Health Center Inc. in Pueblo - Federally Qualified Health Center (fqhc)

Pueblo Community Health Center Inc. - NPI 1164468336

Pueblo Community Health Center Inc. is a Federally Qualified Health Center (fqhc) in Pueblo, Colorado. Pueblo Community Health Center Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Pueblo Community Health Center Inc. is 1164468336. The last update date is 2013-09-24.

Pueblo Community Health Center Inc.'s current location address is 110 E Routt Ave, Pueblo, Colorado. You can contact this provider via phone number 7195438718 and fax number 7195435340. The mailing address for Pueblo Community Health Center Inc. is 110 E Routt Ave, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pueblo Community Health Center Inc.
Address 110 E Routt Ave, Pueblo, Colorado
Phone Number 7195438718
Fax Number 7195435340
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Moore E Donald
Credentials CEO
Telephone Number 7195438718

NPI Number Detail

NPI Number 1164468336
Provider Enumeration Date 2006-06-22
Last Updated Date 2013-09-24

Provider Mailing Address Detail

Address 110 E Routt Ave
City Pueblo
State Colorado (CO)
Post Code 810042117
Phone Number 7195438718
Fax Number 7195435340

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 849
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5638275 CO --

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FAQs about Pueblo Community Health Center Inc.

What is the unique identification code assigned to Pueblo Community Health Center Inc. by the Centers for Medicare & Medicaid Services?

The Pueblo Community Health Center Inc. has been issued the NPI (National Provider Identifier) 1164468336. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Pueblo Community Health Center Inc.'s facilities are situated?

The facilities of Pueblo Community Health Center Inc. are physically located at the following address: 110 E Routt Ave, Pueblo, CO, 810042117.

What is the area of specialization for Pueblo Community Health Center Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pueblo Community Health Center Inc. is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.

On what date was the 1164468336 assigned to Pueblo Community Health Center Inc.?

The Pueblo Community Health Center Inc. was issued its 1164468336 on 2006-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Pueblo Community Health Center Inc.'s information last updated?

The Pueblo Community Health Center Inc.'s information was last updated on 2013-09-24.

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