Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pueblo Community Health Center Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1790608776

Pueblo Community Health Center Inc is a Federally Qualified Health Center (FQHC) in LA Junta, Colorado. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 Carson Ave Ste Specialty Clinic
LA Junta, CO 81050
Phone: (719) 543-8711
Fax: (719) 543-0171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1790608776
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPueblo Community Health Center Inc
Authorized official Phillip Davis — Chief Financial Officer · (719) 543-8718
NPI enumeratedAugust 4, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address110 E Routt Ave, Pueblo, CO 81004-2117

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