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PUEBLO COMMUNITY HEALTH CENTER INC
NPI 1770529950
Clinic/Center - Federally Qualified Health Center (FQHC) in Pueblo, CO

Active since June 22, 2006
300 COLORADO AVE, PUEBLO, CO 81004(719) 543-8711(719) 543-5340 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pueblo Community Health Center Inc NPPES

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

PUEBLO COMMUNITY HEALTH CENTER INC (NPI 1770529950) is a healthcare organization registered as a federally qualified health center (fqhc) in Pueblo, Colorado and active in the NPI registry since June 2006. The organization lists Donald E Moore, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1770529950
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePUEBLO COMMUNITY HEALTH CENTER INC
Location Address300 COLORADO AVEPueblo, CO 81004-2006
Mailing Address110 E Routt AvePueblo, CO 81004-2117 · (719) 543-8718 · Fax (719) 585-3057
Phone(719) 543-8711
Fax(719) 543-5340
Organization SubpartNo
Authorized OfficialDonald E MooreChief Executive Officer · (719) 543-8718
Enumeration DateJune 22, 2006
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1770529950 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
License✔ Licensed in CO · 0849
300 COLORADO AVE, Pueblo, CO 81004
Open in Google Maps ↗

Other Names 1

Other NameColorado Clinic

Other Identifiers 1

Medicaid05638275CO

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pueblo Community Health Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

136

Medicare enrollment records show 136 clinicians reassign Medicare billing to Pueblo Community Health Center Inc, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 104 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner45
Family Practice32
Certified Nurse Midwife (CNM)15
Clinical Social Worker15
Obstetrics/Gynecology11
Mental Health Counselor10
Clinical Psychologist1
Emergency Medicine1
6 other specialties6

Nearest to this location (20)

See all 136
Clare Arth, MD
Psychiatry
NPI 1518984475
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Breanna Berry, D.O.
Family Practice
NPI 1457615189
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Maria Cramer, LCSW
Clinical Social Worker
NPI 1902916794
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Cynthia Fallhowe, M.D.
Family Practice
NPI 1730365495
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Jill Finegold, LPC
Mental Health Counselor
NPI 1548426299
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Casey Fuller, PHMNP-BC
Nurse Practitioner
NPI 1568997757
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Cassandra Furlong, PNP, MS
Nurse Practitioner
NPI 1700657418
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOSSame address
Sherry Hunter, CNM
Certified Nurse Midwife (CNM)
NPI 1497273767
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Susanna Jacobs, DPM
Podiatry
NPI 1750792313
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8718
✔ PECOS✔ Accepts MedicareSame address
Cynthia Jimenez, LCSW
Clinical Social Worker
NPI 1902920564
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8718
✔ PECOS✔ Accepts MedicareSame address
Alexandra Kellogg, DO
Family Practice
NPI 1427518687
300 COLORADO AVE
Pueblo, CO 81004
(715) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Denise Kidd, LPC
Mental Health Counselor
NPI 1174852750
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Carly Lacroix, DO
Osteopathic Manipulative Medicine
NPI 1316328560
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Maria Lengele
Certified Nurse Midwife (CNM)
NPI 1982146221
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Kelly Mclean, FNP
Nurse Practitioner
NPI 1154956530
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
William Mead
Clinical Social Worker
NPI 1154734424
300 COLORADO AVE
Pueblo, CO 81004
(195) 438-7117
✔ PECOS✔ Accepts MedicareSame address
Matthew Mejia, PSY D, LPC
Clinical Psychologist
NPI 1851507321
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Carrie Neumann, MA, NCC, LPC, CAC II
Mental Health Counselor
NPI 1124249586
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Sudheshna Ropp, MD
Emergency Medicine
NPI 1689683054
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOS✔ Accepts MedicareSame address
Brett Hulet, MD
Obstetrics/Gynecology
NPI 1447245139
300 COLORADO AVE
Pueblo, CO 81004
(719) 543-8711
✔ PECOSSame address
See all 136 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1770529950. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is also known as Colorado Clinic.

Where is Pueblo Community Health Center Inc located?

Pueblo Community Health Center Inc is located at 300 Colorado 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.

Is Pueblo Community Health Center Inc enrolled in Medicare?

Yes. Pueblo Community Health Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pueblo Community Health Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 136 clinicians in 14 Medicare specialties reassign their Medicare billing to Pueblo Community Health Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (45), Family Practice (32) and Certified Nurse Midwife (CNM) (15). Of these, 44 practice at this address and 104 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pueblo Community Health Center Inc was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.