# SAN JUAN COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Juan Healthcare Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831351816
- **Authorized official:** MR. CLAYTON H. HOLT (C.E.O.)
- **Authorized official phone:** (435) 587-2116

## Contact information

- **Practice address:** 380 W 100 N, MONTICELLO, UT 84535-0308
- **Practice address phone:** (435) 587-2116
- **Practice address fax:** (435) 587-3004
- **Mailing address:** PO BOX 308, MONTICELLO, UT 84535-0308
- **Mailing address phone:** (435) 587-2116
- **Mailing address fax:** (435) 587-3004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 2006-HOSP-203 | UT | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 07/17/2024