| NPI | 1447900717 |
|---|---|
| Doing Business As | PUEBLO COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | PHILLIP L DAVIS Chief Financial Officer 719-543-8718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |