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Southern Ute Indian Tribe
Primary Care Clinic/Center in Ignacio, Colorado
NPI 1164881686

Southern Ute Indian Tribe is a Primary Care Clinic/Center based in Ignacio, CO and is specialized in Primary Care. Southern Ute Indian Tribe practices in Ignacio, CO. The NPI Number for Southern Ute Indian Tribe is 1164881686 and holds a License No. (Colorado).

The current practice location address for Southern Ute Indian Tribe is 123 Weeminuche, Ignacio, CO and can be reached out via phone at 970-563-4742 and via fax at 970-563-4833.

Location: 123 Weeminuche, Ignacio, CO, 81137-0737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164881686
Provider Name
Southern Ute Indian Tribe
Credential
Provider Entity Type
Organization
Address
123 Weeminuche, Ignacio, CO, 81137-0737
Phone Number
970-563-4742
Fax Number
970-563-4833
Provider Enumeration Date
02/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18500323 05 CO
institution
Provider Business Practice Location Address Details
Address
123 Weeminuche
City
Ignacio
State
Colorado
Zip
81137
Phone Number
970-563-4742
Fax Number
970-563-4833
person
Provider Business Mailing Address Details
Address
123 Weeminuche
City
Ignacio
State
Colorado
Zip
81137
Phone Number
970-563-4742
Fax Number
970-563-4833
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
(Colorado)
Definition
Definition to come...
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