Organization
UTE MOUNTATIN UTE HEALTH CENTER
Active
Organization
UTE MOUNTATIN UTE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL DAVID WARD (ACTING CEO)
(970) 565-4441
Entity
Organization
Contact information
Practice address
232 RUSTLING WILLOW STREET, COMPLES D, TOWAOC, CO 81334
(970) 565-4441
(970) 565-9163
Mailing address
PO BOX 49, 232 RUSTING WILLOW STREET, TOWAOC, CO 81334-0049
(970) 565-4441
(970) 565-9164
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
120269
CO
Other
Enumeration date
05/21/2007
Last updated
07/02/2008
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