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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