Pueblo Community Health Center Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Avondale, Colorado. The current practice location for Pueblo Community Health Center Inc. is 328 Avondale Blvd, Avondale, Colorado. For appointments, you can reach them via phone at
(719) 543-8711. The mailing address for Pueblo Community Health Center Inc. is 310 Colorado Ave, Pueblo, Colorado and phone number is (719) 543-8718.
Pueblo Community Health Center Inc. is licensed to practice in Colorado (license number 0849). The clinic also participates in the medicare program and its
NPI number is 1821010448. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(719) 543-8711.
Primary Care Clinic Profile
| Full Name | Pueblo Community Health Center Inc. |
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| Speciality | Clinic/Center |
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| Location | 328 Avondale Blvd, Avondale, Colorado |
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| Authorized Official Name and Position | Donald Moore (CEO) |
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| Authorized Official Contact | 7195438711 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pueblo Community Health Center Inc.
310 Colorado Ave
Pueblo
CO 81004
Ph: (719) 543-8718 | Pueblo Community Health Center Inc.
328 Avondale Blvd
Avondale
CO 81022
Ph: (719) 543-8711 |
NPI Details:
| NPI Number | 1821010448 |
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| Provider Enumeration Date | 07/24/2006 |
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| Last Update Date | 09/23/2013 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4284543802 |
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| Medicare Enrollment ID | O20091116000620 |
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Medical Identifiers
Medical identifiers for Pueblo Community Health Center Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821010448 | NPI | - | NPPES |
| 05638275 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0849 (Colorado) | Primary |
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