PUEBLO COMMUNITY HEALTH CENTER
NPI 1013271329
Health Maintenance Organization in Pueblo, CO

NPI Status: Active since July 02, 2012

Contact Information

300 COLORADO AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 543-8711
Fax: (719) 543-5340

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  • Organization
  • Health Maintenance Organization
  • CLIA Number: 06D0518235
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 12-18-2026

About PUEBLO COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Pueblo Community Health Center, a provider established in Pueblo, Colorado operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1013271329 assigned on July 2012. The practitioner's primary taxonomy code is 302R00000X with license number 50145 (CO). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Donnald Moore (Ceo)

NPI
1013271329
Provider Name
PUEBLO COMMUNITY HEALTH CENTER
Entity Type
Organization
Location Address
300 COLORADO AVE PUEBLO, CO 81004
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
07-02-2012
Last Update Date
07-02-2012
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
50145
License State
CO
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

DONNALD 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
06D0518235
Facility Type
Federally Qualified Health Center
Certificate Effective Date
December 19, 2024
Certificate Expiration Date
December 18, 2026
Laboratory Director
DR. NORMA NEHREN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pueblo Community Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1013271329, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
9
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 + 7 + 2 + 3 + 4 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1013271329.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
300 COLORADO AVE
PUEBLO, CO 81004
Social Worker (Clinical)
300 COLORADO AVE
PUEBLO, CO 81004
Nurse Practitioner
300 COLORADO AVE
PUEBLO, CO 81004
Licensed Practical Nurse
300 COLORADO AVE
PUEBLO, CO 81004
Obstetrics & Gynecology
300 COLORADO AVE
PUEBLO, CO 81004
Nurse Practitioner
300 COLORADO AVE
PUEBLO, CO 81004
Family Medicine
300 COLORADO AVE
PUEBLO, CO 81004
Advanced Practice Midwife
300 COLORADO AVE
PUEBLO, CO 81004
Social Worker (Clinical)
300 COLORADO AVE
PUEBLO, CO 81004
Midwife
300 COLORADO AVE
PUEBLO, CO 81004
Advanced Practice Midwife
300 COLORADO AVE
PUEBLO, CO 81004
Family Medicine
300 COLORADO AVE
PUEBLO, CO 81004
Family Medicine
300 COLORADO AVE
PUEBLO, CO 81004
Family Medicine
300 COLORADO AVE
PUEBLO, CO 81004
Physician Assistant
300 COLORADO AVE
PUEBLO, CO 81004
Family Medicine
300 COLORADO AVE
PUEBLO, CO 81004
Physician Assistant
300 COLORADO AVE
PUEBLO, CO 81004
Counselor (Mental Health)
300 COLORADO AVE
PUEBLO, CO 81004
Physician Assistant
300 COLORADO AVE
PUEBLO, CO 81004
Physician Assistant (Medical)
300 COLORADO AVE
PUEBLO, CO 81004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013271329, enumerated as an "organization" on July 02, 2012.

The provider is located at 300 COLORADO AVE PUEBLO, CO 81004 and the phone number is (719) 543-8711.

Health Maintenance Organization with taxonomy code 302R00000X.