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
- 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
- Code Navigator
Location Map
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.
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 |
|---|---|---|---|
| 67553541 | MEDICAID (05) | CO | |
| 0617209 | OTHER (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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
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.