Organization
UTAH NAVAJO HEALTH SYSTEM, INCORPORATED
Active
Other names
Montezuma Creek Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JENSEN (CHIEF EXECUTIVE OFFICER)
(435) 651-3713
Entity
Organization
Contact information
Practice address
EAST HIGHWAY 262, MONTEZUMA CREEK, UT 84534
(435) 651-3291
(435) 651-3291
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534
(435) 651-3291
(435) 651-3291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811991151
—
UT
Enumeration date
01/25/2008
Last updated
06/11/2019
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