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CENTENNIAL HS SBWC
NPI 1720432610
Clinic/Center - Federally Qualified Health Center (FQHC) in Pueblo, CO

Active since April 18, 2016
2525 MOUNTVIEW DR, PUEBLO, CO 81008(719) 543-8711 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centennial Hs Sbwc NPPES

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

CENTENNIAL HS SBWC (NPI 1720432610) is a healthcare organization registered as a federally qualified health center (fqhc) in Pueblo, Colorado and active in the NPI registry since April 2016. The organization lists Donald Moore, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1720432610
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePUEBLO COMMUNITY HEALTH CENTER, INC
Location Address2525 MOUNTVIEW DRPueblo, CO 81008-1431
Mailing Address110 E Routt AvePueblo, CO 81004-2117 · (719) 543-8718
Phone(719) 543-8711
Organization SubpartNo
Authorized OfficialDonald MooreChief Executive Officer · (719) 543-8711
Enumeration DateApril 18, 2016
✔ NPI 1720432610 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
2525 MOUNTVIEW DR, Pueblo, CO 81008
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Other Names 1

Other NameCentennial Hs Sbwc

Other Identifiers 1

Medicaid05638275CO

Other Providers at the Same Location NPPES

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

MS. ROBIN LYNNE NEVOLE ATC
Specialist/Technologist (Athletic Trainer)
2525 MOUNTVIEW DR, CENTENNIAL HIGH SCHOOL
PUEBLO, CO 81008
Pueblo County (719) 253-6112

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 1720432610. It was assigned to this organization in the NPPES registry on April 18, 2016. The provider is also known as Centennial Hs Sbwc.

Where is Pueblo Community Health Center, Inc located?

Pueblo Community Health Center, Inc is located at 2525 Mountview Dr, Pueblo, CO 81008. 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 April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.