AFFORDABLE HEALTH CLINIC, LLC (NPI# 1306184056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306184056 |
| Entity Type | Organization |
| Organization Name | AFFORDABLE HEALTH CLINIC, LLC |
| Practice Address |
900 Indiana Ave St D Pueblo CO 81004-8100 |
| Mailing Address |
900 Indiana Ave St D Pueblo CO 81004-7503 |
| Practice Telephone | 7199249021 |
| Practice Fax Number | 7199249166 |
| Mailing Telephone | 7199249021 |
| Mailing Fax Number | 7199249166 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MRS. DAWN LESLIE EVERT (OWNER) |
| Authorized Official Telephone | 7199249021 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 81123 | CO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Affordable Health Clinic, LLC. | 900 Indiana Ave Ste D, Pueblo, CO 81004 |
| Street Address |
900 INDIANA AVE ST D |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| 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 |
| 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 |
| 1235685652 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3670 Parker Blvd, Ste 200, Pueblo, CO 81008-2285 | 2016-08-26 |
| Find all providers in PUEBLO | ||||
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| 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.