SOUTHERN UTE HEALTH CENTER
NPI 1407883309
Clinic/Center - Federally Qualified Health Center (FQHC) in Ignacio, CO

Active since June 27, 2006
123 WEEMINUCHE AVE., IGNACIO, CO 81137(970) 563-4581(970) 563-0208 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2023, Jul 31, 2017, Jul 26, 2017 (3 updates tracked since 2017).

About Southern Ute Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN UTE HEALTH CENTER (NPI 1407883309) is a healthcare organization registered as a federally qualified health center (fqhc) in Ignacio, Colorado and active in the NPI registry since June 2006. The organization lists Georgette C Miller, Support Service Manager, as its authorized official.

NPPES Registry Identity

NPI1407883309
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHERN UTE INDIAN TRIBE
Location Address123 WEEMINUCHE AVE.Ignacio, CO 81137-0899
Mailing AddressPo Box 899Ignacio, CO 81137-0899 · (970) 563-4581 · Fax (970) 563-4833
Fax(970) 563-0208
Organization SubpartNo
Authorized OfficialGeorgette C MillerSupport Service Manager · (970) 563-2459
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 23, 20233 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1407883309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Public Health, FederalTaxonomy 261QP0904X
123 WEEMINUCHE AVE., Ignacio, CO 81137

Other Names 1

Other NameSouthern Ute Health Center

Other Identifiers 2

Medicaid18500323CO
MedicaidH0107NM

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Ute Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Southern Ute Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Internal Medicine
NPI 1982616470
123 WEEMINUCHE AVENUE
Ignacio, CO 81137
(970) 563-4581
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154655835
123 WEEMINUCHE AVE
Ignacio, CO 81137
(970) 563-4581
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629389549
123 WEEMINUCHE
Ignacio, CO 81137
(970) 563-4581
✔ PECOS✔ Accepts Medicare1.7 mi
Rheumatology
NPI 1841395357
1010 THREE SPRINGS BLVD STE 275
Durango, CO 81301
(970) 764-3740
✔ PECOS✔ Accepts Medicare12 mi
Nephrology
NPI 1821062282
1010 THREE SPRINGS BLVD STE 255
Durango, CO 81301
(970) 764-3825
✔ PECOS✔ Accepts Medicare12 mi
General Practice
NPI 1841428075
316 SAWYER DR
Durango, CO 81303
(970) 259-3110
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1912161456
3235 MAIN AVE SUITE 2
Durango, CO 81301
(970) 764-9300
✔ PECOS✔ Accepts Medicare17 mi
Optometry
NPI 1396770962
190 TALISMAN DR UNIT B4
Pagosa Springs, CO 81147
(970) 731-4347
✔ PECOS✔ Accepts Medicare34 mi
Family Practice
NPI 1811044332
1276 SOUTH PEACHTREE ST
Jasper, TX 75951
(409) 384-5701
✔ PECOS892 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Ute Indian Tribe's NPI number?

The NPI number for Southern Ute Indian Tribe is 1407883309. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is also known as Southern Ute Health Center.

Where is Southern Ute Indian Tribe located?

Southern Ute Indian Tribe is located at 123 Weeminuche Ave., Ignacio, CO 81137. The listed phone number is (970) 563-4581.

What is Southern Ute Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Southern Ute Indian Tribe enrolled in Medicare?

Yes. Southern Ute Indian Tribe is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Ute Indian Tribe?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians reassign their Medicare billing to Southern Ute Indian Tribe, in Family Practice, General Practice, Internal Medicine, Nephrology, Nurse Practitioner and 2 other specialties. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Ute Indian Tribe was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.