Pueblo Community Health Center Inc in Walsenburg - Federally Qualified Health Center (fqhc)
Pueblo Community Health Center Inc - NPI 1790966174
Pueblo Community Health Center Inc is a Federally Qualified Health Center (fqhc) in Walsenburg, 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 1790966174. The last update date is 2021-09-30.
Pueblo Community Health Center Inc's current location address is 129 Kansas Ave, Walsenburg, Colorado. You can contact this provider via phone number 7197382718 and fax number 7197382732. The mailing address for Pueblo Community Health Center Inc is 129 Kansas Ave, Walsenburg, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pueblo Community Health Center Inc |
|---|---|
| Address | 129 Kansas Ave, Walsenburg, Colorado |
| Phone Number | 7197382718 |
| Fax Number | 7197382732 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Moore Donald |
| Telephone Number | 7195438718 |
NPI Number Detail
| NPI Number | 1790966174 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2021-09-30 |
Provider Mailing Address Detail
| Address | 129 Kansas Ave |
|---|---|
| City | Walsenburg |
| State | Colorado (CO) |
| Post Code | 810891818 |
| Phone Number | 7197382718 |
| Fax Number | 7197382732 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 180635 |
|
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 | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1790966174 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Pueblo Community Health Center Inc's facilities are geographically located?
The facilities of Pueblo Community Health Center Inc are physically situated at the following location: 129 Kansas Ave, Walsenburg, CO, 810891818.
What is Pueblo Community Health Center Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pueblo Community Health Center Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date was the 1790966174 assigned to Pueblo Community Health Center Inc?
The Pueblo Community Health Center Inc was issued its 1790966174 on 2007-11-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Pueblo Community Health Center Inc most recently updated or revised?
The information pertaining to Pueblo Community Health Center Inc, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-30.
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