Southern Ute Indian Tribe - Medicare Primary Care in Ignacio, CO

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Southern Ute Indian Tribe is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ignacio, Colorado. The current practice location for Southern Ute Indian Tribe is 123 Weeminuche Ave., Ignacio, Colorado. For appointments, you can reach them via phone at (970) 563-4581. The mailing address for Southern Ute Indian Tribe is Po Box 899, Ignacio, Colorado and phone number is (970) 563-4581.

Southern Ute Indian Tribe is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1407883309. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (970) 563-4581.

Contact Information

Southern Ute Indian Tribe
123 Weeminuche Ave.
Ignacio
CO 81137-0899
(970) 563-4581
(970) 563-0208

Map and Direction


Primary Care Clinic Profile

Full NameSouthern Ute Indian Tribe
SpecialityClinic/Center
Location123 Weeminuche Ave., Ignacio, Colorado
Authorized Official Name and PositionGeorgette C Miller (SUPPORT SERVICE MANAGER)
Authorized Official Contact9705632459
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Ute Indian Tribe
Po Box 899
Ignacio
CO 81137-0899

Ph: (970) 563-4581		Southern Ute Indian Tribe
123 Weeminuche Ave.
Ignacio
CO 81137-0899

Ph: (970) 563-4581

NPI Details:

NPI Number1407883309
Provider Enumeration Date06/27/2006
Last Update Date05/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6800928292
Medicare Enrollment IDO20100721000157

Medical Identifiers

Medical identifiers for Southern Ute Indian Tribe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407883309NPI-NPPES
18500323MedicaidCO
H0107MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP0904XClinic/center - Public Health, Federal (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Ute Indian Tribe acts as a billing entity for following providers:
Provider NameMark Cramond Saddler
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1821062282
PECOS PAC ID: 1052369121
Enrollment ID: I20060809000527
Provider NameGwendolyn Grant
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1841395357
PECOS PAC ID: 5597762633
Enrollment ID: I20061106000579
Provider NameMary L Parish
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811044332
PECOS PAC ID: 6103885967
Enrollment ID: I20070807000653
Provider NameWilliam M Finn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982616470
PECOS PAC ID: 0840337622
Enrollment ID: I20091027000793
Provider NameNenette R Mcnamara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154655835
PECOS PAC ID: 0244378784
Enrollment ID: I20130718000306
Provider NameMary E Young
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1801131669
PECOS PAC ID: 3274550330
Enrollment ID: I20150115000177
Provider NameLisa B Smith
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1053726984
PECOS PAC ID: 0547530305
Enrollment ID: I20170727000082
Provider NameStacy Erin Concelman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629389549
PECOS PAC ID: 8426224106
Enrollment ID: I20170824003568
Provider NameRichard D Keller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144477464
PECOS PAC ID: 7113183351
Enrollment ID: I20180917000036

Reviews and Comments


Clinic/Center in Ignacio, CO

Southern Ute Indian Tribe
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 123 Weeminuche, Ignacio, CO 81137
Phone: 970-563-4742    Fax: 970-563-4833
Southern Colorado Ute Service Unit
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 123 Weeminuche Avenue, Ignacio, CO 81137
Phone: 970-563-4581    Fax: 970-563-0208

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.