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SOUTHERN COLORADO FAMILY MEDICINE
NPI 1235424003
Clinic/Center - Primary Care in Pueblo, CO

Active since June 09, 2011
902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5855(719) 557-5097 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Colorado Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN COLORADO FAMILY MEDICINE (NPI 1235424003) is a healthcare organization registered as a primary care in Pueblo, Colorado and active in the NPI registry since June 2011. The organization lists Lynn M Strange, Program Director, as its authorized official.

NPPES Registry Identity

NPI1235424003
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHERN COLORADO FAMILY MEDICINE
Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597
Mailing Address902 Lakeview AvePueblo, CO 81004-3597
Phone(719) 557-5855
Fax(719) 557-5097
Organization SubpartNo
Authorized OfficialLynn M StrangeProgram Director · (719) 557-5872
Enumeration DateJune 9, 2011
✔ NPI 1235424003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CO · 3209
902 LAKEVIEW AVE, Pueblo, CO 81004
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAMILA TERESA ROBLES DO
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
MARK DAVIS PA-C
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
MADISON BASSETT
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
REBECKA ANN REATHERFORD AGACNP-BC
Nurse Practitioner (Acute Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
LUCINEI GERALDO STADNIK MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
DR. LISA HAMILTON MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
TIFFANY ANNE GARCIA FNP
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
DR. KIMBERLEY EVELYN JACKSON D.O.
General Practice
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Colorado Family Medicine's NPI number?

The NPI number for Southern Colorado Family Medicine is 1235424003. It was assigned to this organization in the NPPES registry on June 9, 2011.

Where is Southern Colorado Family Medicine located?

Southern Colorado Family Medicine is located at 902 Lakeview Ave, Pueblo, CO 81004. The listed phone number is (719) 557-5855.

What is Southern Colorado Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Southern Colorado Family Medicine was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.