Organization
PUEBLO COMMUNITY HEALTH CENTER INC
Active
Other names
Pueblo Community College Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE TRUJILLO (PATIENT ACCOUNTS MANAGER)
(719) 543-8711
Entity
Organization
Contact information
Practice address
900 W ORMAN AVE RM MT118, PUEBLO, CO 81004-1430
(719) 543-8711
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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