| Southern Ute Health Center | |
|
123 Weeminuche Avenue Ignacio CO 81137-0899 | |
| (970) 563-4581 | |
| (970) 563-0208 |
| Full Name | Southern Ute Health Center |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 123 Weeminuche Avenue, Ignacio, Colorado |
| Authorized Official Name and Position | Teena Jefferson (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 9705634581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Ute Health Center Po Box 899 Ignacio CO 81137-0899 Ph: (970) 563-4581 | Southern Ute Health Center 123 Weeminuche Avenue Ignacio CO 81137-0899 Ph: (970) 563-4581 |
| NPI Number | 1306154158 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306154158 | NPI | - | NPPES |
| 07973721 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
Southern Ute Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Weeminuche, Ignacio, CO 81137 Phone: 970-563-4742 Fax: 970-563-4833 | |
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 |