NPIMap

Pueblo Community Health Center Inc.

A Medicare group practice based in Pueblo, CO: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4284543802), with 167 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4284543802The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CO
Enrollments
6
Group size
66 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20031104000171 CO Part B Supplier - Clinic/Group Practice 1770529950
O20091116000473 CO Part A Provider - Federally Qualified Health Center (FQHC) 1770529950
O20091116000620 CO Part A Provider - Federally Qualified Health Center (FQHC) 1821010448
O20130603000038 CO Part A Provider - Federally Qualified Health Center (FQHC) 1144589425
O20180522000397 CO Part A Provider - Federally Qualified Health Center (FQHC) 1316466816
O20220323002763 CO Part A Provider - Federally Qualified Health Center (FQHC) 1952071219

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 167

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (167) or whom Care Compare lists as members (66).

Sources for this page