Organization
PUEBLO COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP LEE DAVIS (CHIEF FINANCIAL OFFICER)
(719) 543-8718
Entity
Organization
Contact information
Practice address
1301 E 7TH ST, PUEBLO, CO 81001
(719) 543-8711
(719) 543-0171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 585-3057
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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