National Provider Identifier Database

SOUTHERN COLORADO UTE HEALTH CENTER IAS
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 COLORADO UTE HEALTH CENTER IAS
123 WEEMINUCHE ST
IGNACIO, CO81137
Phone: 970-563-4581
Fax: 970-563-0206
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN COLORADO UTE HEALTH CENTER IAS

NPI Number 1104950641
Legal business name
LBN
SOUTHERN COLORADO UTE HEALTH CENTER IAS
Authorized official JANETTE HARRELL - (CHIEF OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 03/15/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 67553541
  • Other: 0617209 OTHER ID NUMBER-COMMERCIAL NUMBER

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.

Reviews for SOUTHERN COLORADO UTE HEALTH CENTER IAS

There are currently no reviews for SOUTHERN COLORADO UTE HEALTH CENTER IAS


NPIdb - Home
v2.201