Southern Colorado Ute Service Unit

Primary specialty

Federal Public Health Clinic/CenterTaxonomy code 261QP0904X

Legal business name

SOUTHERN COLORADO UTE SERVICE UNIT

Doing business as

Southern Ute Health Center

Practice address

123 Weeminuche Avenue
Ignacio, CO 81137-0899

Phone

(970) 563-4581

Fax

(970) 563-0208

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teena Jefferson

Title

Business Office Manager

Phone

(970) 563-4581

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTHERN UTE HEALTH CENTER Doing business as

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1306154158",
    "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",
            "telephone_number": "970-563-4581",
            "fax_number": "970-563-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WEEMINUCHE AVENUE",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "811370899",
            "telephone_number": "970-563-4581",
            "fax_number": "970-563-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLORADO UTE SERVICE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "TEENA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "970-563-4581"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07973721",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN UTE HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Sangster, ATC
• June Barrie Santon, M.A.
• Lisa Smith, RDN
• 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, PT, DPT
• Sucap

• Clinic/Center in Ignacio, CO
• Providers in Ignacio, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.