Healthcare Provider Details

I. General information

NPI: 1821932484
Provider Name (Legal Business Name): HEALTH SOLUTIONS FAMILY PRACTICE AND WALK-IN CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 JUSTICE CENTER RD STE J
CANON CITY CO
81212-9378
US

IV. Provider business mailing address

41 MONTEBELLO RD STE 204
PUEBLO CO
81001-1379
US

V. Phone/Fax

Practice location:
  • Phone: 719-423-1341
  • Fax:
Mailing address:
  • Phone: 719-423-1341
  • Fax: 719-545-4100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER RUDNIK
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 719-423-1341