Organization
PUEBLO COMMUNITY HEALTH CENTER INC
Active
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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