| Southern Ute Health Center | |
|
123 Weeminuche Ignacio CO 81137 | |
| (970) 563-4742 | |
| (970) 563-4833 |
| Full Name | Southern Ute Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 Weeminuche, Ignacio, Colorado |
| Authorized Official Name and Position | Linda C Winkler (MANAGER) |
| Authorized Official Contact | 9705634742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Ute Health Center Po Box 737 Ignacio CO 81137-0737 Ph: (970) 563-4742 | Southern Ute Health Center 123 Weeminuche Ignacio CO 81137 Ph: (970) 563-4742 |
| NPI Number | 1164881686 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 03/28/2016 |
| Medicare PECOS PAC ID | 6800928292 |
|---|---|
| Medicare Enrollment ID | O20160331002427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164881686 | NPI | - | NPPES |
| 18500323 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Colorado) | Primary |
Southern Ute Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Weeminuche Avenue, Ignacio, CO 81137 Phone: 970-563-4581 Fax: 970-563-0208 | |
Southern Ute Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Weeminuche Ave., Ignacio, CO 81137 Phone: 970-563-4581 Fax: 970-563-0208 |