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UTAH NAVAJO HEALTH SYSTEM INCORPORATED NPI 1932386612


NPI Information

NPI: 1932386612
Provider Name: UTAH NAVAJO HEALTH SYSTEM, INCORPORATED

Doing Business As: MONTEZUMA CREEK COMMUNITY HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D0879816

Address:
EAST HIGHWAY 262
MONTEZUMA CREEK, UT
ZIP 84534
Phone: (435) 651-3291
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UTAH NAVAJO HEALTH SYSTEM, INCORPORATED is a family medicine in Montezuma Creek, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UTAH NAVAJO HEALTH SYSTEM, INCORPORATED NPI is 1932386612. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Montezuma Creek Community Health Center.

The provider's business location address is:

EAST HIGHWAY 262
MONTEZUMA CREEK, UT
ZIP 84534
Phone: (435) 651-3291
Fax: (435) 651-3291

The provider's authorized official is Michael Jensen .
The authorized official title is Chief Executive Officer and has the following contact phone number (435) 651-3713.

The CLIA number assigned to this NPI record is 46D0879816 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/25/2008 and was last updated on 6/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11811991151MEDICAIDUTAH

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: 4/28/2024

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