SOUTHERN COLORADO CLINIC PC
NPI 1790677680
Clinic/Center in Pueblo, CO

Active since July 16, 2025
314 W 16TH ST, PUEBLO, CO 81003(719) 553-2200 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Colorado Clinic Pc NPPES

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

SOUTHERN COLORADO CLINIC PC (NPI 1790677680) is a healthcare organization registered as a clinic/center in Pueblo, Colorado and active in the NPI registry since July 2025. The organization lists Jack Myers, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1790677680
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHERN COLORADO CLINIC PC
Location Address314 W 16TH STPueblo, CO 81003-2728
Mailing AddressPo Box 9000Pueblo, CO 81008-9000 · (719) 553-2200
Organization SubpartNo
Authorized OfficialJack MyersPractice Manager · (719) 553-2201
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1790677680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

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).

314 W 16TH ST, Pueblo, CO 81003

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
314 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
314 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
314 W 16TH ST
PUEBLO, CO 81003
Nurse Practitioner (Family)
314 W 16TH ST
PUEBLO, CO 81003
Nurse Practitioner (Family)
314 W 16TH ST
PUEBLO, CO 81003

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 Clinic PC's NPI number?

The NPI number for Southern Colorado Clinic PC is 1790677680. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Southern Colorado Clinic PC located?

Southern Colorado Clinic PC is located at 314 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 553-2200.

What is Southern Colorado Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Southern Colorado Clinic PC was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.