WALSENBURG CLINIC
NPI 1790966174
Clinic/Center - Federally Qualified Health Center (FQHC) in Walsenburg, CO

Active since November 14, 2007
129 KANSAS AVE, WALSENBURG, CO 81089(719) 738-2718(719) 738-2732 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walsenburg Clinic NPPES

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

WALSENBURG CLINIC (NPI 1790966174) is a healthcare organization registered as a federally qualified health center (fqhc) in Walsenburg, Colorado and active in the NPI registry since November 2007. The organization lists Donald Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790966174
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePUEBLO COMMUNITY HEALTH CENTER INC
Location Address129 KANSAS AVEWalsenburg, CO 81089-1818
Mailing Address110 E Routt AvePueblo, CO 81004-2117 · (719) 543-8711 · Fax (719) 585-3057
Fax(719) 738-2732
Organization SubpartNo
Authorized OfficialDonald MooreCeo · (719) 543-8718
Enumeration DateNovember 14, 2007
Last NPPES UpdateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
NPI 1790966174 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 · 180635
129 KANSAS AVE, Walsenburg, CO 81089

Other Names 1

Other NameWalsenburg Clinic

Other Identifiers 1

Medicaid05638275CO

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
129 KANSAS AVE
WALSENBURG, CO 81089
Nurse Practitioner (Family)
129 KANSAS AVE
WALSENBURG, CO 81089
Specialist
129 KANSAS AVE
WALSENBURG, CO 81089
Family Medicine
129 KANSAS AVE
WALSENBURG, CO 81089
Dentist
129 KANSAS AVE
WALSENBRUG, CO 81089
Nurse Practitioner (Family)
129 KANSAS AVE
WALSENBURG, CO 81089
In Home Supportive Care
129 KANSAS AVE, B1
WALSENBURG, CO 81089
Nurse Practitioner
129 KANSAS AVE
WALSENBURG, CO 81089

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 1790966174. It was assigned to this organization in the NPPES registry on November 14, 2007. The provider is also known as Walsenburg Clinic.

Where is Pueblo Community Health Center Inc located?

Pueblo Community Health Center Inc is located at 129 Kansas Ave, Walsenburg, CO 81089. The listed phone number is (719) 738-2718.

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 September 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.