Organization
PUEBLO COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD MOORE CEO (CEO)
(719) 543-8711
Entity
Organization
Contact information
Practice address
328 AVONDALE BLVD, AVONDALE, CO 81022
(719) 543-8711
(719) 543-5340
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8718
(719) 585-3057
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0849
CO
Other
Enumeration date
07/24/2006
Last updated
11/06/2025
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