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

Southern Colorado Clinic PC

Organization Clinic/Center · NPI 1619562824

Southern Colorado Clinic PC is a Clinic/Center in Pueblo, Colorado. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4112 Outlook Blvd Ste 290
Pueblo, CO 81008-1667
Phone: (719) 553-2235
Fax: (833) 916-2049
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1619562824
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthern Colorado Clinic PC
Authorized official Jennifer Arellano — Coo · (719) 553-1801
NPI enumeratedMarch 9, 2021
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing addressPo Box 9000, Pueblo, CO 81008-9000

Other providers in Pueblo