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Contact Information

PUEBLO COMMUNITY HEALTH CENTER INC
1301 E 7TH ST
PUEBLO, CO81001
 Phone: 719-476-0220
 Fax: 719-545-5587
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PUEBLO COMMUNITY HEALTH CENTER INC

NPI Number 1790730737
LBN Legal business name PUEBLO COMMUNITY HEALTH CENTER INC
Authorized official JUSTIN MCCARTHY - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2006
Last updated 01/14/2022 - About 4 years ago
Identifiers
CO License # 650
CO Medicaid 88408884
Other 2003867 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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