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PRAIRIE MEDICAL CLINIC PLLC
NPI 1891914693
Family Medicine in Pueblo, CO

Active since April 24, 2007
1726 S PRAIRIE AVE, PUEBLO, CO 81005(719) 561-8660(719) 561-8660 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prairie Medical Clinic Pllc NPPES

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

PRAIRIE MEDICAL CLINIC PLLC (NPI 1891914693) is a healthcare organization registered as a family medicine in Pueblo, Colorado and active in the NPI registry since April 2007. The organization lists Benjamin Martinez, Physician, as its authorized official.

NPPES Registry Identity

NPI1891914693
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRAIRIE MEDICAL CLINIC PLLC
Location Address1726 S PRAIRIE AVEPueblo, CO 81005-2253
Mailing Address1726 S Prairie AvePueblo, CO 81005-2253 · (719) 561-8660 · Fax (719) 561-8660
Phone(719) 561-8660
Fax(719) 561-8660
Organization SubpartNo
Authorized OfficialBenjamin MartinezPhysician · (719) 561-1291
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891914693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1726 S PRAIRIE AVE, Pueblo, CO 81005
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

CAROL DAUGHERTY NP
Nurse Practitioner
1726 S PRAIRIE AVE
PUEBLO, CO 81005
Pueblo County (719) 561-1291
SOSTENES JOESEPH FLORES NP
Nurse Practitioner
1726 S PRAIRIE AVE
PUEBLO, CO 81005
Pueblo County (719) 561-1291
BENJAMIN MARTINEZ MD
Family Medicine
1726 S PRAIRIE AVE
PUEBLO, CO 81005
Pueblo County (719) 561-1291

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 Prairie Medical Clinic PLLC's NPI number?

The NPI number for Prairie Medical Clinic PLLC is 1891914693. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Prairie Medical Clinic PLLC located?

Prairie Medical Clinic PLLC is located at 1726 S Prairie Ave, Pueblo, CO 81005. The listed phone number is (719) 561-8660.

What is Prairie Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Prairie Medical Clinic PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.