National Provider Identifier Database

SOUTHERN UTE INDIAN TRIBE
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

SOUTHERN UTE INDIAN TRIBE
123 WEEMINUCHE
IGNACIO, CO81137
Phone: 970-563-4781
Fax: 970-563-0207
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN UTE INDIAN TRIBE

NPI Number 1073630174
Legal business name
LBN
SOUTHERN UTE INDIAN TRIBE
Authorized official CAROLE VELASCO - (HEALTH CENTER DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/23/2007
Last updated 08/04/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 67553541
  • Other: 2003394 PK

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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