# AFFORDABLE HEALTH CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306184056
- **Authorized official:** MRS. DAWN LESLIE EVERT NP-C (OWNER)
- **Authorized official phone:** (719) 924-9021

## Contact information

- **Practice address:** 900 INDIANA AVE ST D, PUEBLO, CO 81004-8100
- **Practice address phone:** (719) 924-9021
- **Practice address fax:** (719) 924-9166
- **Mailing address:** 900 INDIANA AVE ST D, PUEBLO, CO 81004-7503
- **Mailing address phone:** (719) 924-9021
- **Mailing address fax:** (719) 924-9166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 81123 | CO | Yes |

## Other

- **Enumeration date:** 01/30/2013
- **Last updated:** 10/06/2020