Organization
SAN JUAN COUNTY HOSPITAL
Active
Other names
San Juan Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON HOLT (CFO)
(435) 587-1112
Entity
Organization
Contact information
Practice address
380 W 100 N, SUITE A, MONTICELLO, UT 84535-1054
(435) 587-5054
(435) 587-3004
Mailing address
PO BOX 1054, MONTICELLO, UT 84535-1054
(435) 587-5054
(435) 587-3004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2005-HOSP-203
UT
261QR1300X
Rural Health Clinic/Center
Primary
2011-HOSP-203
UT
Other
Enumeration date
06/16/2006
Last updated
07/17/2024
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