Southern Ute Health Center | |
123 Weeminuche Ave. Ignacio CO 81137-0899 | |
(970) 563-4581 | |
(970) 563-0208 |
Full Name | Southern Ute Health Center |
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Speciality | Clinic/Center |
Location | 123 Weeminuche Ave., Ignacio, Colorado |
Authorized Official Name and Position | Georgette C Miller (SUPPORT SERVICE MANAGER) |
Authorized Official Contact | 9705632459 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southern Ute Health Center Po Box 899 Ignacio CO 81137-0899 Ph: (970) 563-4581 | Southern Ute Health Center 123 Weeminuche Ave. Ignacio CO 81137-0899 Ph: (970) 563-4581 |
NPI Number | 1407883309 |
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Provider Enumeration Date | 06/27/2006 |
Last Update Date | 05/23/2023 |
Medicare PECOS PAC ID | 6800928292 |
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Medicare Enrollment ID | O20100721000157 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407883309 | NPI | - | NPPES |
18500323 | Medicaid | CO | |
H0107 | Medicaid | NM |
Provider Name | Mark Cramond Saddler |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1821062282 PECOS PAC ID: 1052369121 Enrollment ID: I20060809000527 |
Provider Name | Gwendolyn Grant |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1841395357 PECOS PAC ID: 5597762633 Enrollment ID: I20061106000579 |
Provider Name | Mary L Parish |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811044332 PECOS PAC ID: 6103885967 Enrollment ID: I20070807000653 |
Provider Name | William M Finn |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982616470 PECOS PAC ID: 0840337622 Enrollment ID: I20091027000793 |
Provider Name | Nenette R Mcnamara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154655835 PECOS PAC ID: 0244378784 Enrollment ID: I20130718000306 |
Provider Name | Mary E Young |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801131669 PECOS PAC ID: 3274550330 Enrollment ID: I20150115000177 |
Provider Name | Lisa B Smith |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1053726984 PECOS PAC ID: 0547530305 Enrollment ID: I20170727000082 |
Provider Name | Stacy Erin Concelman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629389549 PECOS PAC ID: 8426224106 Enrollment ID: I20170824003568 |
Provider Name | Richard D Keller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144477464 PECOS PAC ID: 7113183351 Enrollment ID: I20180917000036 |
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: Not Enrolled in Medicare Practice Location: 123 Weeminuche Avenue, Ignacio, CO 81137 Phone: 970-563-4581 Fax: 970-563-0208 |