RISLEY SCHOOL BASED WELLNESS CENTER
NPI 1013261023
Clinic/Center - Federally Qualified Health Center (FQHC) in Pueblo, CO

NPI Status: Active since October 30, 2012

Contact Information

625 N MONUMENT AVE
PUEBLO, CO
ZIP 81001
Phone: (719) 543-8711
Fax: (719) 543-5340

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 06D2238110
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 09-29-2027

About RISLEY SCHOOL BASED WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Risley School Based Wellness Center, a primary care provider established in Pueblo, Colorado operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1013261023 assigned on October 2012. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Risley School Based Wellness Center. The authorized official of this NPI record is Donald Moore (Ceo)

NPI
1013261023
Provider Legal Name
PUEBLO COMMUNITY HEALTH CENTER
Other Organization Name
RISLEY SCHOOL BASED WELLNESS CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
625 N MONUMENT AVE PUEBLO, CO 81001
Location Phone
(719) 543-8711
Location Fax
(719) 543-5340
Mailing Address
110 E ROUTT AVE PUEBLO, CO 81004
Mailing Phone
(719) 543-8711
Mailing Fax
(719) 543-5340
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2012
Last Update Date
11-19-2012
Code Navigator

A primary care provider (PCP) like Risley School Based Wellness Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD MOORE

Authorized Official Title
CEO
Authorized Official Phone
(719) 543-8711

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2238110
Facility Type
School/Student Health Service
Certificate Effective Date
September 30, 2025
Certificate Expiration Date
September 29, 2027
Laboratory Director
WILLIAM BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Risley School Based Wellness Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013261023, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 4 + 6 + 2 + 0 + 4 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1013261023.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013261023, enumerated as an "organization" on October 30, 2012.

The provider is located at 625 N MONUMENT AVE PUEBLO, CO 81001 and the phone number is (719) 543-8711.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).