SOUTHERN COLORADO CLINIC PC


Address: 3676 Parker Blvd, Pueblo, CO 81008-2212
Phone: 7195532200

SOUTHERN COLORADO CLINIC PC (NPI# 1285613554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285613554
Entity Type Organization
Organization Name SOUTHERN COLORADO CLINIC PC
Practice Address 3676 Parker Blvd
Pueblo
CO 81008-2212
Mailing Address Po Box 9000
Pueblo
CO 81008-9000
Practice Telephone 7195532200
Practice Fax Number 7195532213
Mailing Telephone 7195532200
Mailing Fax Number 7195532216
Enumeration Date 2006-01-13
Last Update Date 2007-07-18
Authorized Official Name DR. MARK STEWART POTZLER (PRESIDENT)
Authorized Official Telephone 7195532200
Authorized Official Credential MEDICAL DOCTOR
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831705300 Southern Colorado Clinic PC Clinic/Center 109 S Burlington Dr, Pueblo West, CO 81007-5560 2020-09-21
1598371056 Southern Colorado Clinic PC Clinic/Center 3937 Ivywood Ln, Pueblo, CO 81005-2551 2020-09-21

Office Location

Street Address 3676 PARKER BLVD
City PUEBLO
State CO
Zip Code 81008-2212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922001700 Stephen D Bast Physician Assistant 3676 Parker Blvd, Pueblo, CO 81008-2212 2005-05-24
1255945960 Jessica Marie Anaya Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2020-09-01
1023658713 Havilah R. Spurlock Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2020-01-09
1033625314 Jennifer Livingston Nurse Practitioner 3676 Parker Blvd, Pueblo, CO 81008-2212 2017-12-21
1588176341 Kenneth Morris Physical Medicine & Rehabilitation 3676 Parker Blvd, Pueblo, CO 81008-2212 2017-11-01
1053770370 Parkview Medical Center, Inc Clinic/Center 3676 Parker Blvd, Suite 140, Pueblo, CO 81008-2212 2016-02-15
1124495163 Kyle Sanders Physical Therapist 3676 Parker Blvd, Suite 370, Pueblo, CO 81008-2212 2015-08-25
1588057319 James Richard Anderson Physician Assistant 3676 Parker Blvd, Pueblo, CO 81008-2212 2015-03-18
1942600150 Adam Jennings Physical Therapist 3676 Parker Blvd, Suite 370, Pueblo, CO 81008-2212 2014-08-26
1023425386 Amanda C Fadenrecht Nurse Practitioner 3676 Parker Blvd, Suite 260, Pueblo, CO 81008-2212 2014-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164058913 Healthone Clinic Services - Oncology Hematology LLC Internal Medicine 3678 Parker Blvd, Pueblo, CO 81008 2020-03-12
1073026423 Carmel Community Living Corporation Respite Care 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 2017-11-08
1568987121 Hannah Vivian Roadruck Pharmacist 4200 Dillon Dr., Pueblo, CO 81008 2017-08-04
1184170425 Brett Burana Dentist 729 Us-50, Pueblo, CO 81008 2016-08-28
1760832885 Irby Dental Cottage Dental Hygienist 2099 West St # 50, Suite 180, Pueblo, CO 81008 2016-06-20
1649624362 Curley Peak Dentistry Pllc Dentist 1640 W Fortino Blvd, Pueblo, CO 81008 2016-04-19
1336507847 Kyle Tipton Nurse Anesthetist, Certified Registered 4741 Eagleridge Circle, 206, Pueblo, CO 81008 2016-01-29
1407211931 Center At Park West, LLC Skilled Nursing Facility 3727 Parker Blvd., Pueblo, CO 81008 2015-12-29
1417327461 Nicole Betts Registered Nurse 1310 Fortino Blvd Ste D, Pueblo, CO 81008 2015-10-02
1437578028 Pueblo Modern Dentistry and Orthodontics, LLP Dentist 727 Us Hwy 50 West, Pueblo, CO 81008 2014-04-10
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy 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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427689652 Parkview Medical Center, Inc Clinic/Center 54 Club Manor Dr Ste 101, Pueblo, CO 81008-2605 2020-01-27
1528608304 Parkview Medical Center, Inc. Clinic/Center 405 W 15th St Ste 210, Pueblo, CO 81003-2743 2020-01-09
1437647864 White Crane Acupuncture Clinic/Center 2701 N Elizabeth St, Pueblo, CO 81003-3643 2018-05-01
1265853311 Vicky J. Lowrance, D.c. Clinic/Center 2025 N Norwood Ave, Pueblo, CO 81001-5667 2013-12-16
1306184056 Affordable Health Clinic, LLC Clinic/Center 900 Indiana Ave St D, Pueblo, CO 81004-8100 2013-01-30
1598371056 Southern Colorado Clinic PC Clinic/Center 3937 Ivywood Ln, Pueblo, CO 81005-2551 2020-09-21
1134751712 Parkview Medical Center, Inc. Clinic/Center 3670 Parker Blvd, Pueblo, CO 81008-2285 2020-02-11
1053954867 American Currenct Care P.a. Clinic/Center 4117 N Elizabeth St, Pueblo, CO 81008-2009 2019-10-24
1639641152 Colorado Permanente Medical Group, P.C. Clinic/Center 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 2018-12-21
1912487810 Kaiser Foundation Health Plan of Colorado Clinic/Center 2625 W Pueblo Blvd, Pueblo, CO 81004 2018-08-20
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81008

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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