SOUTHERN COLORADO CLINIC PC


Address: 109 S Burlington Dr, Pueblo West, CO 81007-5560
Phone: 7195532205

SOUTHERN COLORADO CLINIC PC (NPI# 1831705300) 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) 1831705300
Entity Type Organization
Organization Name SOUTHERN COLORADO CLINIC PC
Practice Address 109 S Burlington Dr
Pueblo West
CO 81007-5560
Mailing Address Po Box 9000
Pueblo
CO 81008-9000
Practice Telephone 7195532205
Mailing Telephone 7195532200
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Authorized Official Name KATHY LYNN KELLEY (ADMIN SERVICE COOR.)
Authorized Official Telephone 7195531802
Is Organization Subpart Y
Parent Organization Name SOUTHERN COLORADO CLINIC PC

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
1598371056 Southern Colorado Clinic PC Clinic/Center 3937 Ivywood Ln, Pueblo, CO 81005-2551 2020-09-21
1285613554 Southern Colorado Clinic PC Clinic/Center 3676 Parker Blvd, Pueblo, CO 81008-2212 2006-01-13

Office Location

Street Address 109 S BURLINGTON DR
City PUEBLO WEST
State CO
Zip Code 81007-5560

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396188322 Hanson Clinic PC Orthopaedic Surgery 109 S Burlington Dr, Pueblo West, CO 81007-5560 2013-04-09
1851743025 Hanson Clinic PC Specialist 109 S Burlington Dr, Pueblo West, CO 81007-5560 2016-07-12
1568875649 Bradley Jonathan Reeves Specialist/Technologist, Other 109 S Burlington Dr, Pueblo West, CO 81007-5560 2014-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811406630 Southern Colorado Hearing Associates, Inc. Audiologist 904 East Hailey Lane, Pueblo West, CO 81007 2017-09-25
1396274361 Laura Selig Physical Therapist 1168 N Thorpe Dr, Pueblo West, CO 81007 2017-06-05
1710351127 Benjamin Gaines Speech-Language Pathologist 1056 W Broken Bow Dr, Pueblo West, CO 81007 2015-11-23
1467861351 Zoe Grillos Massage Therapist 876 S Knox Dr, Pueblo West, CO 81007 2014-08-05
1033454186 Melissa Lynn Hollis Occupational Therapy Assistant 1333 N Blue Lake Ln, Pueblo West, CO 81007 2012-11-30
1336491125 Patricia Deana Cuadrado General Practice 44 E. Spaulding Ave., Pueblo West, CO 81007 2012-10-04
1194088021 Aaron J Wilson Chiropractor 50 S Dunlap Dr, Pueblo West, CO 81007 2012-06-15
1780811893 Rhonda Renee Grigg Pediatrics 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 2009-06-16
1144482191 Christopher Nicholas Liontas Dentist 360 S. Orchard Springs Dr, Pueblo West, CO 81007 2008-07-01
1780855718 Justin Dean Youngren Chiropractor 50 S Dunlap Drive, Pueblo West, CO 81007 2008-03-18
Find all providers in zip 81007

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 state

NPI Name Taxonomy Address Enumeration
1295334746 Joel Allen Miller Clinic/Center 2125 Norwich Dr, Colorado Springs, CO 80920-5332 2020-10-25
1649879214 Boulder Community Health Clinic/Center 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 2020-10-23
1285233882 Boulder Community Health Clinic/Center 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 2020-10-23
1700485372 Boulder Community Health Clinic/Center 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 2020-10-23
1841899416 Boulder Community Health Clinic/Center 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 2020-10-23
1669079794 Springfield Chiropractic LLC Clinic/Center 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 2020-10-01
1508470881 San Luis Valley Community Mental Health Center Clinic/Center 260 Worth Street, Center, CO 81125 2020-09-03
1285248732 San Luis Valley Community Mental Health Center Clinic/Center 409 Trinchera St, San Luis, CO 81152 2020-09-02
1629689658 Yampa Valley Medical Center Clinic/Center 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 2020-08-13
1841817921 Strive Health Pa LLC Clinic/Center 1600 Stout St Ste 2000, Denver, CO 80202-3113 2020-07-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City PUEBLO WEST
Zip Code 81007

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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