SOUTHERN COLORADO UTE SERVICE UNIT; NPI #1629344908

Contact Information

SOUTHERN COLORADO UTE SERVICE UNIT

232 RUSTLING WILLOW ST
TOWAOC, CO 81334-0049

Phone: 970-565-4441
Fax: 970-565-9110
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for SOUTHERN COLORADO UTE SERVICE UNIT

NPI Number 1629344908

LBN Legal business name SOUTHERN COLORADO UTE SERVICE UNIT

Authorized official EARL WARD - (HEALTH CENTER DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/30/2012

Last updated 03/30/2012 - About 14 years ago

Identifiers

AZ	Medicaid	708000
CO	Medicaid	05600002
NM	Medicaid	G7123
UT	Medicaid	70000000009

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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