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SOUTHERN COLORADO CLINIC PC
NPI 1831705300
Clinic/Center in Pueblo West, CO

Active since September 21, 2020
109 S BURLINGTON DR, PUEBLO WEST, CO 81007(719) 553-2205 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2022, Sep 21, 2020 (2 updates tracked since 2020).

About Southern Colorado Clinic Pc NPPES

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

SOUTHERN COLORADO CLINIC PC (NPI 1831705300) is a healthcare organization registered as a clinic/center in Pueblo West, Colorado and active in the NPI registry since September 2020. The organization lists Jennifer Arellano, Coo, as its authorized official.

NPPES Registry Identity

NPI1831705300
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHERN COLORADO CLINIC PC
Location Address109 S BURLINGTON DRPueblo West, CO 81007-5560
Mailing AddressPo Box 9000Pueblo, CO 81008-9000 · (719) 553-2200
Phone(719) 553-2205
Organization SubpartYes
Authorized OfficialJennifer ArellanoCoo · (719) 553-1801
Enumeration DateSeptember 21, 2020
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1831705300 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).
109 S BURLINGTON DR, Pueblo West, CO 81007
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Other Providers at the Same Location NPPES 6

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

DR. SCOTT ALAN DERUITER M.D.
Family Medicine
109 S BURLINGTON DR
PUEBLO, CO 81007
Pueblo County (719) 553-2205
HANSON CLINIC PC
Orthopaedic Surgery
109 S BURLINGTON DR
PUEBLO WEST, CO 81007
Pueblo County (719) 766-9000
STEVEN JAMES SIMERVILLE MD
Pediatrics
109 S BURLINGTON DR
PUEBLO WEST, CO 81007
Pueblo County (719) 595-6020
NATALIE D FISHER NP
Nurse Practitioner (Primary Care)
109 S BURLINGTON DR
PUEBLO WEST, CO 81007
Pueblo County (719) 553-2205
BRETT ALLEN SLOAN OTC
Specialist/Technologist, Other
109 S BURLINGTON DR
PUEBLO, CO 81007
Pueblo County (719) 766-9000
HANSON CLINIC PC
Specialist
109 S BURLINGTON DR
PUEBLO WEST, CO 81007
Pueblo County (719) 766-9000

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 1831705300. It was assigned to this organization in the NPPES registry on September 21, 2020.

Where is Southern Colorado Clinic PC located?

Southern Colorado Clinic PC is located at 109 S Burlington Dr, Pueblo West, CO 81007. The listed phone number is (719) 553-2205.

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 December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.