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Organization
UTE MOUNTAIN UTE TRIBE
Active
Organization
UTE MOUNTAIN UTE TRIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD WHITED (DIRECTOR)
(970) 564-5446
Entity
Organization
Contact information
Practice address
232 RUSTLING WILLOW ST, TOWAOC, CO 81334-5062
(970) 564-5446
Mailing address
PO BOX 169, TOWAOC, CO 81334-0169
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
04/30/2024
Last updated
03/19/2025
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