SOUTHERN COLORADO UTE SERVICE UNIT; NPI #1972670461

Contact Information

SOUTHERN COLORADO UTE SERVICE UNIT

232 RUSTLING WILLOW
TOWAOC, CO 81334

Phone: 970-565-4441
Fax: 970-565-9163
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for SOUTHERN COLORADO UTE SERVICE UNIT

NPI # 1972670461

LBN Legal business name SOUTHERN COLORADO UTE SERVICE UNIT

Authorized official LUCY LANSING - (BUSINESS OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/29/2006

Last updated 02/10/2025 - More than a year ago

Identifiers

AZ	Medicaid	708000
CO	Medicaid	43205542
NM	Medicaid	67123
UT	Medicaid	700000000009
	Other	2003393	PK

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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