# UTAH NAVAJO HEALTH SYSTEM, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blanding Family Practice Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457489486
- **Authorized official:** MR. MICHAEL JENSEN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (435) 651-3713

## Contact information

- **Practice address:** 910 S 300 W, BLANDING, UT 84511-3910
- **Practice address phone:** (435) 678-3601
- **Practice address fax:** (435) 678-3610
- **Mailing address:** PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
- **Mailing address phone:** (435) 651-3766
- **Mailing address fax:** (435) 651-3642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 02/18/2022