CENTRAL HIGH SCHOOL SBWC
NPI 1700139813
Clinic/Center - Federally Qualified Health Center (FQHC) in Pueblo, CO

Q: What is Pueblo Community Health Center Inc's NPI number?

The NPI number for Pueblo Community Health Center Inc is 1700139813. It was assigned to this organization in the NPPES registry on October 26, 2012. The provider is also known as Central High School Sbwc.

Q: What is Pueblo Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since October 26, 2012

216 E ORMAN AVE, PUEBLO, CO 81004(719) 543-8711(719) 543-0171 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Central High School Sbwc NPPES

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

CENTRAL HIGH SCHOOL SBWC (NPI 1700139813) is a healthcare organization registered as a federally qualified health center (fqhc) in Pueblo, Colorado and active in the NPI registry since October 2012. The organization lists Donald Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700139813

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePUEBLO COMMUNITY HEALTH CENTER INC

Location Address216 E ORMAN AVEPueblo, CO 81004-2144

Mailing Address110 E Routt AvePueblo, CO 81004-2117 · (719) 543-8711 · Fax (719) 543-5340

Phone(719) 543-8711

Fax(719) 543-0171

Organization SubpartNo

Authorized OfficialDonald MooreCeo · (719) 543-8711

Enumeration DateOctober 26, 2012

Last NPPES UpdateJune 11, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1700139813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

216 E ORMAN AVE, Pueblo, CO 81004

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Other Names 1

Other NameCentral High School Sbwc

Other Identifiers 1

Medicaid04257871CO

Other Providers at the Same Location NPPES 3

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

ELLENE MARIE LAUGHLIN PT

Physical Therapist

216 E ORMAN AVE
PUEBLO, CO 81004

Pueblo County (816) 916-8116

BRITTANY HOOVER

Specialist/Technologist (Athletic Trainer)

216 E ORMAN AVE
PUEBLO, CO 81004

Pueblo County (719) 994-7065

NATHANIEL JOSEPH MUNOZ ATC

Specialist/Technologist (Athletic Trainer)

216 E ORMAN AVE
PUEBLO, CO 81004

Pueblo County (719) 549-7702

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 Pueblo Community Health Center Inc's NPI number?

The NPI number for Pueblo Community Health Center Inc is 1700139813. It was assigned to this organization in the NPPES registry on October 26, 2012. The provider is also known as Central High School Sbwc.

Where is Pueblo Community Health Center Inc located?

Pueblo Community Health Center Inc is located at 216 E Orman Ave, Pueblo, CO 81004. The listed phone number is (719) 543-8711.

What is Pueblo Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Pueblo Community Health Center Inc was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.