OrganizationActive
Pueblo Community Health Center Inc
NPI 1770529950 · Federally Qualified Health Center (FQHC) · Pueblo, CO
Provider details
- NPI number
- 1770529950
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Moore, Chief Executive Officer(719) 543-8718
- License
- 0849 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
300 Colorado Ave
Pueblo, CO 81004-2006
Phone: (719) 543-8711
Fax: (719) 543-5340
Street-level locationGet directions
Mailing address
110 E Routt Ave
Pueblo, CO 81004-2117
Other names (DBA / former)
- Other name
- Colorado Clinic
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.