Organization
SOUTHERN COLORADO UTE SERVICE UNIT
Active
Other names
SOUTHERN UTE HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TEENA JEFFERSON (BUSINESS OFFICE MANAGER)
(970) 563-4581
Entity
Organization
Contact information
Practice address
123 WEEMINUCHE AVENUE, IGNACIO, CO 81137-0899
(970) 563-4581
(970) 563-0208
Mailing address
PO BOX 899, IGNACIO, CO 81137-0899
(970) 563-4581
(970) 563-0208
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07973721
—
CO
Enumeration date
09/15/2010
Last updated
09/15/2010
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