Organization · Type 2 NPI
Pueblo Community Health Center Inc
Federally Qualified Health Center (FQHC) · La Junta, CO
NPI number
1790608776
Active
Practice location
1100 Carson Avenue, Ste Specialty Clinic
La Junta, CO 81050
Fax (719) 543-0171
Mailing address
110 E Routt Ave
Pueblo, CO 81004-2117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1790608776
Pueblo Community Health Center Inc's National Provider Identifier is 1790608776, issued on Aug 4, 2026. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in La Junta, CO. The record was last updated on Aug 4, 2026.