National Provider Identifier Database

SOUTHERN UTE INDIAN TRIBE
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

SOUTHERN UTE INDIAN TRIBE
123 WEEMINUCHE AVE.
IGNACIO, CO81137-0899
Phone: 970-563-4581
Fax: 970-563-0208
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for SOUTHERN UTE INDIAN TRIBE

NPI Number 1407883309
Legal business name
LBN
SOUTHERN UTE INDIAN TRIBE
Authorized official GEORGETTE MILLER - (SUPPORT SERVICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/27/2006
Last updated 05/23/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 18500323
  • NM Medicaid: H0107

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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