SAN JUAN PUBLIC HEALTH SPECIAL SERVICE DISTRICT (NPI# 1275050353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275050353 |
| Entity Type | Organization |
| Organization Name | SAN JUAN PUBLIC HEALTH SPECIAL SERVICE DISTRICT |
| Other Organization Name | SAN JUAN PUBLIC HEALTH |
| Practice Address |
735 South 200 West Suite B Blanding UT 84511 |
| Mailing Address |
Po Box E Blanding UT 84511-0089 |
| Practice Telephone | (435) 678-2723 |
| Practice Fax Number | 4356783309 |
| Mailing Telephone | 4356782723 |
| Mailing Fax Number | 4356783309 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Authorized Official Name | MR. KIRK W BENGE (DIRECTOR) |
| Authorized Official Telephone | 4356782723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| San Juan Public Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275050460 | San Juan Public Health Special Service District | Public Health or Welfare | 196 E Center St, Blanding, UT 84511-2921 | 2017-08-28 |
| Street Address |
735 SOUTH 200 WEST SUITE B |
| City | BLANDING |
| State | UT |
| Zip Code | 84511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996278 | Acorn Care LLC | In Home Supportive Care | 1121 N Grayson Parkway, Blanding, UT 84511 | 2020-09-11 |
| 1659850832 | Guardian Flight LLC | Ambulance | 212 West Freedom Way, Blanding, UT 84511 | 2018-08-09 |
| 1710393830 | Kristine Beaver | Clinical Nurse Specialist | 730 East 500 South, Blanding, UT 84511 | 2014-07-09 |
| 1558513812 | Blue Mountain Hospital | Medicare Defined Swing Bed Unit | 802 S 200 West, Suite A, Blanding, UT 84511 | 2008-10-17 |
| 1588847909 | Sterling Black, LLC | Chiropractor | 792 S Main St., Blanding, UT 84511 | 2007-12-07 |
| 1740318401 | Utah Navajo Health System, Incorporated | Family Medicine | #2 Rainbow Road, Navajo Mountain, UT 84511 | 2007-03-02 |
| 1114002151 | Anna M Day | Family Medicine | 799 So 200 W, Blanding, UT 84511 | 2006-10-26 |
| 1235214289 | Kimberly Fairley | Family Medicine | Box 130 E Hwy 262, Montezuma Creek, UT 84511 | 2006-10-26 |
| 1699725747 | Sterling Black | Chiropractor | 792 S. Main St., Blanding, UT 84511 | 2006-05-11 |
| 1932673126 | Exergy Rehabilitation | Physical Therapist | 196 E Center Street Suite 4, Blanding, UT 84511 | 2019-01-22 |
| Find all providers in zip 84511 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346701075 | Passport Health Holdings, LLC | Preventive Medicine | 563 W 500 South, Suite 215, Bountiful, UT 84010-8172 | 2019-03-26 |
| 1457806135 | Tamara Lewis Sheffield | Preventive Medicine | 36 S State St Fl 21, Salt Lake City, UT 84111-1630 | 2016-08-23 |
| 1265733984 | John Charles Bailey | Preventive Medicine | 1330 E 2100 N, North Logan, UT 84341-2038 | 2010-11-11 |
| 1679732382 | Richard M Garden | Preventive Medicine | 14425 Bitterbrush Ln, Draper, UT 84020-9501 | 2008-06-06 |
| 1821203654 | Albert Gordon Reynolds | Preventive Medicine | 1871 West Cyn View Dr, Saint George, UT 84770 | 2007-05-14 |
| 1881652980 | Joseph K Miner | Preventive Medicine | 151 S University Ave, Suite 2800, Provo, UT 84601-4427 | 2006-05-01 |
| 1215427869 | Knew Visions Inc. | Preventive Medicine | 7984 S 1300 E, Sandy, UT 84094-0744 | 2018-05-18 |
| 1205377736 | Passport Health Holdings, LLC | Preventive Medicine | 1055 North 300 West, Ste 416, Provo, UT 84604-3354 | 2017-03-16 |
| 1477954402 | Passport Health Holdings LLC | Preventive Medicine | 7001 S 900 E, Ste 210, Midvale, UT 84047-5606 | 2014-09-09 |
| 1265695811 | Nichole Quick | Preventive Medicine | 3152 N University Ave Ste 220, Provo, UT 84604-4729 | 2008-07-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAN JUAN PUBLIC HEALTH SPECIAL SERVICE DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.