NPIMap

Organization Active NPI

Pueblo Department of Public Health and Environment

  • State or Local Public Health Clinic/Center
  • Pueblo, CO
National Provider Identifier
1245228022
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
Practice address
101 W 9TH St
Pueblo, CO 81003-4103
Phone
(719) 583-4300
Fax
(719) 583-4527
NPI assigned
Oct 6, 2005
Last updated
Sep 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher Eugene Urbina, M.D.
Title
Public Health Medical Officer
Phone
(303) 981-9985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

101 W 9TH St
Pueblo, CO 81003-4103

Mailing address

101 W 9TH St
Pueblo, CO 81003-4103
Phone (719) 583-4300

Other identifiers 2

IdentifierTypeStateIssuer
04416095MedicaidCO
04005609MedicaidCO

Other names 1

  • Pueblo City County Health Department Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0665091Pueblo Department of Public Health and Enviornment101 W 9TH St, Pueblo, CO 81003Provider-performed microscopyJan 15, 2028

National Provider Directory

National Provider Directory

Locations

101 W 9th St
Pueblo, CO 81003
Phone (719) 583-4300

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1245228022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 9TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810034103",
            "telephone_number": "719-583-4300",
            "fax_number": "719-583-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 9TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810034103",
            "telephone_number": "719-583-4300",
            "fax_number": "719-583-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "URBINA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PUBLIC HEALTH MEDICAL OFFICER",
        "authorized_official_telephone_number": "303-981-9985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04416095",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04005609",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pueblo City County Health Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.