Organization
SOUTHERN COLORADO UTE SERVICE UNIT
Active
Other names
White Mesa Health Station
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL DAVID WARD (HEALTH CENTER DIRECTOR)
(970) 565-4441
Entity
Organization
Contact information
Practice address
232 RUSTLING WILLOW ST, TOWAOC, CO 81334-0049
(970) 565-4441
(970) 565-9110
Mailing address
PO BOX 49, TOWAOC, CO 81334-0049
(970) 565-4441
(970) 565-9110
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05600002
—
CO
05
—
70000000009
—
UT
05
—
708000
—
AZ
05
—
G7123
—
NM
Enumeration date
03/30/2012
Last updated
03/30/2012
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