Southern Colorado Clinic PC
NPI 1528828837ActiveOrganization· Clinic/Center· Pueblo, CO
Clinic/Center in Pueblo, Colorado, registered in NPPES in March 2024, part of Southern Colorado Clinic PC. The authorized official on file is Evangeline (Evie) Harris, Credentialing Specialist.
Overview
| NPI | 1528828837 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southern Colorado Clinic PC |
| NPI issued | Mar 21, 2024 |
| Last updated in NPPES | Mar 26, 2024 |
| Certified by provider | Mar 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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