SAN JUAN COUNTY HOSPITAL NPI 1942251459

NPI Information

NPI: 1942251459
Provider Name: SAN JUAN COUNTY HOSPITAL

Other Name: SAN JUAN HEALTH SERVICES DISTRICT

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
380 WEST 100 NORTH
MONTICELLO, UT
ZIP 84535
Phone: (435) 587-2116
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SAN JUAN COUNTY HOSPITAL is a critical access general acute care hospital in Monticello, UT. SAN JUAN COUNTY HOSPITAL NPI is 1942251459. The provider is registered as an organization entity type.
The provider Other Name Is San Juan Health Services District.

The provider's business location address is:

380 WEST 100 NORTH
MONTICELLO, UT
ZIP 84535-308
Phone: (435) 587-2116
Fax: (435) 587-2061

The provider's authorized official is Clayton H. Holt .
The authorized official title is Ceo and has the following contact phone number (435) 587-2116.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 1/19/2016.

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
1	275N00000X	Medicare Defined Swing Bed Unit		2006-HOSP-203	UTAH	No
2	208D00000X	General Practice		2015-ALI-203	UTAH	No
3	282NC0060X	General Acute Care Hospital	Critical Access	2006-HOSP-203	UTAH	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	=========071	MEDICAID	UTAH
2	46Z308	MEDICARE OSCAR/CERTIFICATION	UTAH
3	=========019	MEDICAID	UTAH
4	U000006105	MEDICARE UPIN	UTAH
5	461308	MEDICARE OSCAR/CERTIFICATION	UTAH

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

NPI Synchronization or Removal

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