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 1790677680

Southern Colorado Clinic PC is a Clinic/Center in Pueblo, Colorado. Registered with an NPI since 2025.

In the registry since
2025
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

314 W 16th St
Pueblo, CO 81003-2728
Phone: (719) 553-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1790677680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Myers — Practice Manager · (719) 553-2201
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing addressPo Box 9000, Pueblo, CO 81008-9000

Other providers in Pueblo