Organization
UTAH NAVAJO HEALTH SYSTEM, INCORPORATED
Active
Other names
San Juan River Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRETT HOLLY (BUSINESS OFFICE DIRECTOR)
(435) 651-3718
Entity
Organization
Contact information
Practice address
799 S 200 W, BLANDING, UT 84511-3909
(435) 678-0733
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3718
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811991151
—
UT
Enumeration date
04/19/2018
Last updated
06/11/2019
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