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CH08017J PUEBLO COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
PUEBLO COMMUNITY HEALTH CENTER
Subdivision Name
Central High School SBWC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027064
340B ID
CH08017J
Grant Number
H80CS00692
Additional Details
Current Program Status
Active
Registration Date
6/9/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/15/2009
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
Pueblo Community Health Center, Inc.
Donald Moore, CEO
(719) 543-8718 Ext: 139
Primary Contact
Pueblo Community Health Center
Phillip L Davis, CFO
(719) 543-8718 Ext: 295
Addresses
Street Address
216 E Orman Ave
Pueblo, CO 81004-2144
Billing Address
Pueblo Community Health Center
110 E Routt Ave
PUEBLO, CO 81004
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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