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Organization

PUEBLO COMMUNITY HEALTH CENTER

Active
Other names
Freed 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
715 W 20TH ST, PUEBLO, CO 81003-4052
(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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