NPIMap

Organization Active NPI

Ute Mountatin Ute Health Center

  • Federally Qualified Health Center (FQHC)
  • Towaoc, CO
National Provider Identifier
1619186558
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
120269 Issued in CO
Legal business name
UTE MOUNTATIN UTE HEALTH CENTER
Practice address
232 Rustling Willow Street
Comples D
Towaoc, CO 81334
Phone
(970) 565-4441
Fax
(970) 565-9163
NPI assigned
May 21, 2007
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mr. Earl David WardNPI 1417051582
Title
Acting Ceo
Phone
(970) 565-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 120269 CO Primary

Addresses

Primary practice location

232 Rustling Willow Street
Comples D
Towaoc, CO 81334

Mailing address

PO Box 49
232 Rusting Willow Street
Towaoc, CO 81334-0049
Phone (970) 565-4441

National Provider Directory

National Provider Directory
Tax ID family
Southern Colorado Ute Service Unit5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1619186558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "address_2": "232 RUSTING WILLOW STREET",
            "city": "TOWAOC",
            "state": "CO",
            "postal_code": "813340049",
            "telephone_number": "970-565-4441",
            "fax_number": "970-565-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 RUSTLING WILLOW STREET",
            "address_2": "COMPLES D",
            "city": "TOWAOC",
            "state": "CO",
            "postal_code": "81334",
            "telephone_number": "970-565-4441",
            "fax_number": "970-565-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTE MOUNTATIN UTE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "970-565-4441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CO",
            "license": "120269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towaoc, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.