UTE MOUNTAIN UTE HEALTH CENTER (NPI# 1972670461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972670461 |
| Entity Type | Organization |
| Organization Name | UTE MOUNTAIN UTE HEALTH CENTER |
| Other Organization Name | UTE MOUNTAIN UTE HEALTH CENTER |
| Practice Address |
232 Rustling Willow Towaoc CO 81334 |
| Mailing Address |
Po Box 310010668 Pasadena CA 91110-0001 |
| Practice Telephone | 9705654441 |
| Practice Fax Number | 9705659163 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-03-10 |
| Authorized Official Name | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
| Authorized Official Telephone | 4059516086 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2003393 | 01 | |
| AZ | 708000 | 05 | |
| CO | 43205542 | 05 | |
| UT | 700000000009 | 05 | |
| NM | 67123 | 05 |
| Other Name | Type Code |
|---|---|
| UTE MOUNTAIN UTE HEALTH CENTER | Doing Business As Name - Organization |
| Street Address |
232 RUSTLING WILLOW |
| City | TOWAOC |
| State | CO |
| Zip Code | 81334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760674659 | Ruby Doyle | Registered Nurse | Rustling Willow Rd Complex D, Towaoc, CO 81334 | 2007-08-14 |
| 1619186558 | Ute Mountatin Ute Health Center | Clinic/Center | 232 Rustling Willow Street, Comples D, Towaoc, CO 81334 | 2007-05-21 |
| 1508908351 | Ute Mountain Ute Public Safety | Ambulance | 101 North Bear Dance Rd, Towac, CO 81334 | 2007-02-12 |
| 1114027836 | Kristen Suzanne Anderson | Pharmacist | Rustling Willow Street, Complex D, Towaoc, CO 81334 | 2006-09-23 |
| 1932123692 | Brian C Talley | Dentist | Ute Mountain Ute Health Center Dental Clinic, 232 Rustling Willow Street, Towaoc, CO 81334 | 2006-07-27 |
| 1689613580 | Trina Bancroft-begay | Family Medicine | Rustling Willow St. Complex D, Towaoc, CO 81334-0000 | 2006-06-06 |
| 1427098995 | Kimberly Vega | Family Medicine | Rustling Willow St. Complex D, Towaoc, CO 81334-0000 | 2006-06-06 |
| 1619305786 | Susan Fredrickson | Psychologist | 232 Rustling Willow St., Ute Mountain Ute Health Center, Towaoc, CO 81334-0049 | 2013-10-28 |
| 1437482841 | Roberto Baca | Registered Nurse | 232 Rustling Willow St Complex D, Towaoc, CO 81334-0049 | 2009-09-16 |
| 1134313232 | Indian Health Service | Clinic/Center | Rustling Willow, Complex D, Towaoc, CO 81334-0049 | 2007-08-31 |
| Find all providers in zip 81334 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | 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. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952686164 | Chinook Healthcare In | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 325 W S Boulder Rd, Suite 5, Louisville, CO 80027-1130 | 2011-10-19 |
| 1104950641 | Southern Colorado Ute Health Center Ias | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 123 Weeminuche St, Ignacio, CO 81137 | 2007-03-15 |
| 1205477106 | Capitol Medical Supply Inc Gj | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2478 Patterson Rd Ste 10, Grand Junction, CO 81505-3606 | 2019-10-01 |
| 1356816649 | Denver Indian Health and Family Services Inc. | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2880 W Holden Pl, Denver, CO 80204-3353 | 2018-10-12 |
| 1073630174 | Southern Ute Indian Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 123 Weeminuche, Ignacio, CO 81137 | 2007-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.