Southern Colorado Ute Service Unit
Organization Active NPI Federal Public Health Clinic/Center · Ignacio, CO
NPI 1306154158 · NPPES record last updated Sep 15, 2010
Key facts
- NPI
- 1306154158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federal Public Health Clinic/Center 261QP0904X
- Legal business name
- SOUTHERN COLORADO UTE SERVICE UNIT
- Practice address
- 123 Weeminuche Avenue
Ignacio, CO 81137-0899 - Phone
- (970) 563-4581
- Fax
- (970) 563-0208
- NPI assigned
- Sep 15, 2010
- Organization subpart
- No
Authorized official
- Name
- Teena Jefferson
- Title
- Business Office Manager
- Phone
- (970) 563-4581
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federal Public Health Clinic/Center | 261QP0904X | Yes |
Addresses
Primary practice location
123 Weeminuche Avenue
Ignacio, CO 81137-0899
Mailing address
PO Box 899
Ignacio, CO 81137-0899
Phone (970) 563-4581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07973721 | Medicaid | CO |
Other names
- SOUTHERN UTE HEALTH CENTER
Other providers in Ignacio, CO
- Shelby Sangster
- June Barrie Santon
- Lisa Smith
- Southern Colorado Community Action Agency, Inc.
- Southern Colorado Ute Health Center Ias
- Southern Ute Indian Tribe
- Southern Ute Indian Tribe
- Southern Ute Indian Tribe
- Stephen Matthew Stockhausen
- Sucap
All providers in Ignacio, CO · Federal Public Health Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.