OrganizationActive
Southern Colorado Clinic PC
NPI 1619562824 · Clinic/Center · Pueblo, CO
Southern Colorado Clinic PC is a Clinic/Center organization in Pueblo, CO (NPI 1619562824).
Provider details
- NPI number
- 1619562824
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Southern Colorado Clinic PC
- Organization subpart
- Yes
- Authorized official
- Jennifer Arellano, Coo(719) 553-1801
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4112 Outlook Blvd Ste 290
Pueblo, CO 81008-1667
Phone: (719) 553-2235
Fax: (833) 916-2049
Street-level locationGet directions
Mailing address
Po Box 9000
Pueblo, CO 81008-9000
Registry dates
- Enumerated
- 2021-03-09
- Last updated
- 2022-12-05
- Certified
- 2022-12-05
Frequently asked questions
- What is Southern Colorado Clinic PC's NPI number?
- Southern Colorado Clinic PC's National Provider Identifier (NPI) is 1619562824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Colorado Clinic PC?
- Southern Colorado Clinic PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Colorado Clinic PC located?
- Southern Colorado Clinic PC's practice location on file with NPPES is 4112 Outlook Blvd Ste 290, Pueblo, CO 81008-1667.
- What is Southern Colorado Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Colorado Clinic PC is (719) 553-2235.
- Who is the authorized official for Southern Colorado Clinic PC?
- The authorized official listed on Southern Colorado Clinic PC's NPPES record is Jennifer Arellano, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Colorado Clinic PC's NPI active?
- Yes — Southern Colorado Clinic PC's NPI (1619562824) is active in the NPPES registry as of the last update on 2022-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.