SOUTHERN COLORADO CLINIC PC
NPI 1528828837
Clinic/Center in Pueblo, CO

NPI Status: Active since March 21, 2024

Contact Information

2403 SANTA FE DR STE 7
PUEBLO, CO
ZIP 81006
Phone: (719) 553-2200

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  • Organization
  • Clinic/Center
  • CLIA Number: 06D2302116
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-10-2026

About SOUTHERN COLORADO CLINIC PC

This page provides the complete NPI Profile along with additional information for Southern Colorado Clinic Pc, a provider established in Pueblo, Colorado operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1528828837 assigned on March 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Evangeline (evie) Harris (Credentialing Specialist)

NPI
1528828837
Provider Name
SOUTHERN COLORADO CLINIC PC
Entity Type
Organization
Location Address
2403 SANTA FE DR STE 7 PUEBLO, CO 81006
Location Phone
(719) 553-2200
Mailing Address
PO BOX 9000 PUEBLO, CO 81008
Mailing Phone
(719) 553-2200
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-21-2024
Last Update Date
03-26-2024
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

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

EVANGELINE (EVIE) HARRIS

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(719) 553-1804

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
06D2302116
Facility Type
Physician Office
Certificate Effective Date
November 11, 2024
Certificate Expiration Date
November 10, 2026
Laboratory Director
JOHN G. BEAUMAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Southern Colorado Clinic Pc 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 1528828837, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 2 → 4 8 → 16 → 7 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 4 + 8 + 1 + 6 + 2 + 1 + 6 + 8 + 6 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1528828837.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
2403 SANTA FE DR STE 7
PUEBLO, CO 81006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528828837, enumerated as an "organization" on March 21, 2024.

The provider is located at 2403 SANTA FE DR STE 7 PUEBLO, CO 81006 and the phone number is (719) 553-2200.

Clinic/Center with taxonomy code 261Q00000X.