SOUTHERN COLORADO UTE HEALTH CENTER IAS
NPI 1104950641
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Ignacio, CO

NPI Status: Active since March 15, 2007

Contact Information

123 WEEMINUCHE ST
IGNACIO, CO
ZIP 81137
Phone: (970) 563-4581
Fax: (970) 563-0206

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  • Organization
  • Indian Health Service/Tribal/Urban India...
  • CLIA Number: 06D0667974
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 04-18-2026

About SOUTHERN COLORADO UTE HEALTH CENTER IAS

This page provides the complete NPI Profile along with additional information for Southern Colorado Ute Health Center Ias, a provider established in Ignacio, Colorado operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1104950641 assigned on March 2007. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Janette Harrell Rph (Chief Of Pharmacy)

NPI
1104950641
Provider Name
SOUTHERN COLORADO UTE HEALTH CENTER IAS
Entity Type
Organization
Location Address
123 WEEMINUCHE ST IGNACIO, CO 81137
Location Phone
(970) 563-4581
Location Fax
(970) 563-0206
Mailing Address
PO BOX 899 IGNACIO, CO 81137
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Code
332800000X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANETTE HARRELL RPH

Authorized Official Title
CHIEF OF PHARMACY
Authorized Official Phone
(970) 563-4581

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
67553541MEDICAID (05)CO 
0617209OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D0667974
Facility Type
Federally Qualified Health Center
Certificate Effective Date
April 19, 2024
Certificate Expiration Date
April 18, 2026
Laboratory Director
DR. RICHARD KELLER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Southern Colorado Ute Health Center Ias in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104950641, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 5 + 0 + 6 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104950641.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104950641, enumerated as an "organization" on March 15, 2007.

The provider is located at 123 WEEMINUCHE ST IGNACIO, CO 81137 and the phone number is (970) 563-4581.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.