Southern Colorado Ute Health Center Ias

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

SOUTHERN COLORADO UTE HEALTH CENTER IAS

Practice address

123 Weeminuche St
Ignacio, CO 81137

Phone

(970) 563-4581

Fax

(970) 563-0206

NPI assigned

Mar 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janette Harrell, RPH

Title

Chief of Pharmacy

Phone

(970) 563-4581

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104950641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "811370899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WEEMINUCHE ST",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "81137",
            "telephone_number": "970-563-4581",
            "fax_number": "970-563-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLORADO UTE HEALTH CENTER IAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "CHIEF OF PHARMACY",
        "authorized_official_telephone_number": "970-563-4581",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0617209",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67553541",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Vandegrift Rotondi, LM
• Shelby Sangster, ATC
• June Barrie Santon, M.A.
• Lisa Smith, RDN
• Southern Colorado Community Action Agency, Inc.
• Southern Colorado Ute Service Unit
• Southern Ute Indian Tribe
• Southern Ute Indian Tribe
• Southern Ute Indian Tribe
• Stephen Matthew Stockhausen, PT, DPT

• All providers in Ignacio, CO
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.