National Provider Identifier Database

SOUTHERN COLORADO UTE SERVICE UNIT
Public Health, Federal


Contact Information

SOUTHERN COLORADO UTE SERVICE UNIT
123 WEEMINUCHE AVENUE
IGNACIO, CO81137-0899
Phone: 970-563-4581
Fax: 970-563-0208
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for SOUTHERN COLORADO UTE SERVICE UNIT

NPI Number 1306154158
Legal business name
LBN
SOUTHERN COLORADO UTE SERVICE UNIT
Authorized official TEENA JEFFERSON - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/15/2010
Last updated 09/15/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 07973721

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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