Organization · Type 2 NPI
Southern Colorado Clinic PC
Clinic/Center · Pueblo West, CO
NPI number
1831705300
Active
Practice location
109 S Burlington Dr
Pueblo West, CO 81007-5560
Mailing address
PO Box 9000
Pueblo, CO 81008-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6 other providers at this address
- Hanson Clinic PCOrthopaedic Surgery Physician Pueblo West, CO NPI 1396188322
- Hanson Clinic PCSpecialist Pueblo West, CO NPI 1851743025
- Brett Allen Sloan, OTCOther Specialist/Technologist Pueblo, CO NPI 1710391339
- Natalie D. Fisher, NPPrimary Care Nurse Practitioner Pueblo West, CO NPI 1679411441
- Scott Alan Deruiter, MDFamily Medicine Physician Pueblo, CO NPI 1093777658
- Steven James Simerville, MDPediatrics Physician Pueblo West, CO NPI 1497712921
About NPI 1831705300
Southern Colorado Clinic PC's National Provider Identifier is 1831705300, issued on Sep 21, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Pueblo West, CO. The record was last updated on Dec 5, 2022.