SAN JUAN COUNTY HOSPITAL (NPI# 1114121100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114121100 |
Entity Type | Organization |
Organization Name | SAN JUAN COUNTY HOSPITAL |
Other Organization Name | SAN JUAN HEALTH SERVICE DISTRICT |
Practice Address |
380 West 100 North Monticello UT 84535-0308 |
Mailing Address |
Po Box 308 Monticello UT 84535-0308 |
Practice Telephone | 4355872116 |
Practice Fax Number | 4355872061 |
Mailing Telephone | 4355872116 |
Mailing Fax Number | 4355872061 |
Enumeration Date | 2007-06-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. LYMAN DUNCAN (CFO) |
Authorized Official Telephone | 4355872116 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
2006-HOSP-203 | UT | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
San Juan Health Service District | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588978738 | San Juan County Hospital | Family Medicine | 11850 S Highway 191 Ste B10, Moab, UT 84532-3924 | 2010-07-29 |
1659315877 | San Juan County Hospital | Family Medicine | 380 W 100 N, Suite A, Monticello, UT 84535-1054 | 2006-06-16 |
1942251459 | San Juan County Hospital | Medicare Defined Swing Bed Unit | 380 West 100 North, Monticello, UT 84535-0308 | 2006-05-12 |
1831351816 | San Juan County Hospital | Medicare Defined Swing Bed Unit | 380 W 100 N, Monticello, UT 84535-0308 | 2008-06-30 |
1821045840 | San Juan County Hospital | Family Medicine | 804 N 400 W, Blanding, UT 84511-3417 | 2006-05-27 |
Street Address |
380 WEST 100 NORTH |
City | MONTICELLO |
State | UT |
Zip Code | 84535-0308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942251459 | San Juan County Hospital | Medicare Defined Swing Bed Unit | 380 West 100 North, Monticello, UT 84535-0308 | 2006-05-12 |
1609357524 | Nicole Marie Fox | Physician Assistant | 380 West 100 North, Monticello, UT 84535 | 2018-08-28 |
1194102889 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 380 West 100 North, Monticello, UT 84535 | 2015-05-01 |
1285043885 | Jane Sparks | Nurse Practitioner | 380 West 100 North, Suite A, Monticello, UT 84535-1054 | 2014-08-07 |
1568790558 | Kelly Marvin Jeppesen | Family Medicine | 380 West 100 North, Suite A, Monticello, UT 84535-1054 | 2009-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134731292 | Benjamin Wolsey Nielson | Social Worker | 133 E. 200 S., Monticello, UT 84535 | 2020-08-20 |
1346797909 | Utah Navajo Health System, Incorporated | Dentist | 217 S. 100 West, Monticello, UT 84535 | 2016-09-01 |
1346648094 | Kayenta Dental | Dentist | 225 S. Main, Monticello, UT 84535 | 2014-12-11 |
1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
1871932640 | Angelic Hands, Inc | Home Health | 64 West 200 South, Monticello, UT 84535 | 2013-06-14 |
1982910519 | Julee Dawn Slade | Registered Nurse | 417 S. 100 W., Monticello, UT 84535 | 2010-08-20 |
1477886059 | Blue Mountain Family Center | Substance Abuse Rehabilitation Facility | 580 North Main, Monticello, UT 84535 | 2009-09-14 |
1710114665 | Nathan James Turnbow | Dentist | 225 South Main, Monticello, UT 84535 | 2009-06-18 |
1447465141 | San Juan Dental | Dentist | 217 S. 100 W., Monticello, UT 84535 | 2007-05-14 |
1902952062 | San Juan County | Ambulance | 117 South Main, Monticello, UT 84535 | 2007-01-25 |
Find all providers in zip 84535 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851915052 | Royall Em LLC | Clinic/Center | 300 N Hospital Dr, Price, UT 84501-4218 | 2020-06-03 |
1245639962 | Wasatch Mental Health | Clinic/Center | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2014-08-19 |
1093834038 | Mountain Medical Urgent Care | Clinic/Center | 127 East Main Street, Suite E, Lehi, UT 84043 | 2007-03-29 |
City | MONTICELLO |
Zip Code | 84535 |
Please comment or provide details below to improve the information on SAN JUAN COUNTY HOSPITAL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.