Organization Name: | PUEBLO COMMUNITY HEALTH CENTER |
NPI Number: | 1013271329 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNALD MOORE (CEO) |
Mailing Address: | 300 Colorado Ave Pueblo |
State: | CO US |
Postal Code: | 810042006 |
Phone Number: | 7195438711 |
Fax Number: | 7195435340 |
NPI Enumeration Date: | 07/02/2012 |
NPI Last Update Date: | 07/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 50145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |