NPI 1013271329

Pueblo Community Health Center

Organisation Health Maintenance Organization Pueblo, CO

Practice location

Address: 300 Colorado Ave, Pueblo, CO 81004-2006
Phone: (719) 543-8711
Fax: (719) 543-5340
Mailing address: 110 E Routt Ave, Pueblo, CO 81004-2117

Authorised official

Name: Donnald Moore
Title: Ceo
Phone: (719) 543-8711

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 50145 (CO)

Other Health Maintenance Organization providers in Colorado →

Registry record

NPI: 1013271329
Entity type: Organization
NPI issued: 2 Jul 2012
Record last updated: 2 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.