| Southern Colorado Ute Service Unit | |
|
232 Rustling Willow St Towaoc CO 81334-0049 | |
| (970) 565-4441 | |
| (970) 565-9110 |
| Full Name | Southern Colorado Ute Service Unit |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 232 Rustling Willow St, Towaoc, Colorado |
| Authorized Official Name and Position | Earl David Ward (HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 9705654441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Colorado Ute Service Unit Po Box 49 Towaoc CO 81334-0049 Ph: (970) 565-4441 | Southern Colorado Ute Service Unit 232 Rustling Willow St Towaoc CO 81334-0049 Ph: (970) 565-4441 |
| NPI Number | 1629344908 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629344908 | NPI | - | NPPES |
| G7123 | Medicaid | NM | |
| 70000000009 | Medicaid | UT | |
| 05600002 | Medicaid | CO | |
| 708000 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rustling Willow, Complex D, Towaoc, CO 81334 Phone: 970-565-4441 Fax: 970-565-3578 | |
Southern Colorado Ute Service Unit Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 232 Rustling Willow St, Towaoc, CO 81334 Phone: 970-565-4441 Fax: 970-565-9110 | |
Ute Mountatin Ute Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Rustling Willow Street, Comples D, Towaoc, CO 81334 Phone: 970-565-4441 Fax: 970-565-9163 |