Organization
PUEBLO COMMUNITY HEALTH CENTER
Active
Organization
PUEBLO COMMUNITY HEALTH CENTER
Active
Other names
Risley School Based Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MOORE (CEO)
(719) 543-8711
Entity
Organization
Contact information
Practice address
625 N MONUMENT AVE, PUEBLO, CO 81001-5706
(719) 543-8711
(719) 543-5340
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
11/19/2012
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