OrganizationActive
Southern Colorado Clinic PC
NPI 1790677680 · Clinic/Center · Pueblo, CO
Southern Colorado Clinic PC is a Clinic/Center organization in Pueblo, CO (NPI 1790677680).
Provider details
- NPI number
- 1790677680
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Myers, Practice Manager(719) 553-2201
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
314 W 16th St
Pueblo, CO 81003-2728
Phone: (719) 553-2200
Street-level locationGet directions
Mailing address
Po Box 9000
Pueblo, CO 81008-9000
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Frequently asked questions
- What is Southern Colorado Clinic PC's NPI number?
- Southern Colorado Clinic PC's National Provider Identifier (NPI) is 1790677680, 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 314 W 16th St, Pueblo, CO 81003-2728.
- 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) 553-2200.
- Who is the authorized official for Southern Colorado Clinic PC?
- The authorized official listed on Southern Colorado Clinic PC's NPPES record is Jack Myers, Practice Manager. 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 (1790677680) is active in the NPPES registry as of the last update on 2025-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.