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CH08017A PUEBLO COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
PUEBLO COMMUNITY HEALTH CENTER
Subdivision Name
AVONDALE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001688
340B ID
CH08017A
Grant Number
H80CS00692
Additional Details
Current Program Status
Active
Registration Date
1/1/2000
Participating Start Date
1/1/2000
Participating Approval Date
3/25/2005
Last Recertification Date
3/2/2025
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
328 Avondale Blvd
Avondale, CO 81022
Billing Address
PCHC
110 East Routt Avenue
Pueblo, CO 81004
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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