White Mesa Health Station

LBN: Southern Colorado Ute Service Unit
White Mesa Health Station is an health care organization with primary practice located at 232 Rustling Willow St , Towaoc CO 81334-0049. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, Federal, which is considered as the primary health care specialty. Southern Colorado Ute Service Unit can be contacted via phone (970) 565-4441, or through Ward, Earl David via phone (970) 565-4441.

Contact Information

Primary practice address
232 Rustling Willow St Towaoc CO 81334-0049
Phone: (970) 565-4441
Fax: (970) 565-9110
Website:
Map and Directions
Authorized official contact:
Name: Ward, Earl David
Phone: (970) 565-4441

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X

Profile Details

NPI number 1629344908
LBN Legal business name Southern Colorado Ute Service Unit
DBA Doing business as White Mesa Health Station
Authorized official Ward, Earl David
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2012
Last updated Mar 30th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629344908 NPPES
New Mexico MEDICAID G7123
New Mexico MEDICAID 70000000009
New Mexico MEDICAID 05600002
New Mexico MEDICAID 708000

Popular Providers