Organization
UTAH NAVAJO HEALTH SYSTEM, INCORPORATED
Active
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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