SAN JUAN COUNTY HOSPITAL NPI 1659315877

NPI Information

  • NPI: 1659315877
  • Provider Name: SAN JUAN COUNTY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: SAN JUAN CLINIC
  • CLIA Number: 46D0960484
  • Address: 380 W 100 N
    SUITE A
    MONTICELLO, UT
    ZIP 84535
  • Phone: (435) 587-5054

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NPI Details

SAN JUAN COUNTY HOSPITAL is a rural health clinic center in Monticello, UT. SAN JUAN COUNTY HOSPITAL NPI is 1659315877. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Juan Clinic.

The provider's business location address is:

380 W 100 N
SUITE A
MONTICELLO, UT
ZIP 84535-054
Phone: (435) 587-5054
Fax: (435) 587-3004

The provider's authorized official is Clayton Holt .
The authorized official title is Cfo and has the following contact phone number (435) 587-1112.

The CLIA number assigned to this NPI record is 46D0960484 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 7/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2005-HOSP-203UTAHNo
2261QR1300XClinic/CenterRural Health2011-HOSP-203UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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