SAN JUAN PUBLIC HEALTH SPECIAL SERVICE DISTRICT (NPI# 1275050460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275050460 |
| Entity Type | Organization |
| Organization Name | SAN JUAN PUBLIC HEALTH SPECIAL SERVICE DISTRICT |
| Other Organization Name | SAN JUAN PUBLIC HEALTH |
| Practice Address |
196 E Center St Blanding UT 84511-2921 |
| Mailing Address |
Po Box E Blanding UT 84511-0089 |
| Practice Telephone | 4356782723 |
| Practice Fax Number | 4356783309 |
| Mailing Telephone | 4356782723 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Authorized Official Name | KIRK W BENGE (DIRECTOR) |
| Authorized Official Telephone | 4356482723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | UT | Agencies |
| Other Name | Type Code |
|---|---|
| San Juan Public Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275050353 | San Juan Public Health Special Service District | Preventive Medicine | 735 South 200 West, Suite B, Blanding, UT 84511 | 2017-08-29 |
| Street Address |
196 E CENTER ST |
| City | BLANDING |
| State | UT |
| Zip Code | 84511-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366813552 | Jacqueline Latham | Registered Nurse | 196 E Center St, Blanding, UT 84511-2921 | 2015-10-13 |
| 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 |
| 1275050353 | San Juan Public Health Special Service District | Preventive Medicine | 735 South 200 West, Suite B, Blanding, UT 84511 | 2017-08-29 |
| 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 |
| Find all providers in zip 84511 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275196222 | C.n.s. Corporation | Public Health or Welfare | 2800 S Redwood Rd, West Valley City, UT 84119-2375 | 2019-04-16 |
| 1780140186 | Gordon Family Dental | Public Health or Welfare | 1020 S 1100 W Ste A, Lehi, UT 84043-6040 | 2019-02-11 |
| 1144676412 | Utah Poison Control Center | Public Health or Welfare | 30 S 2000 E Ste 4540, Salt Lake City, UT 84112-5820 | 2016-05-05 |
| 1396180576 | Workout Addiction Recovery, Inc. | Public Health or Welfare | 1190 E 5425 S, South Ogden, UT 84403-4548 | 2013-05-01 |
| 1447573456 | Fine Point Pharmacy Services | Public Health or Welfare | 1478 N 260 E, Pleasant Grove, UT 84062-9446 | 2010-03-04 |
| 1407031255 | Wasatch County Health Department | Public Health or Welfare | 55 East 500 South, Heber City, UT 84032 | 2007-12-28 |
| 1629159637 | County of Summit | Public Health or Welfare | 85 North 50 East, Coalville, UT 84017 | 2006-10-17 |
| 1912092586 | Utah County Council On Drug Abuse Rehabilitation | Public Health or Welfare | 251 East 1200 South, Orem, UT 84058 | 2006-10-03 |
| 1699878942 | State of Utah | Public Health or Welfare | 44 N Mario Cappeci Drive, Salt Lake City, UT 84114 | 2006-09-05 |
| 1992811467 | Southeastern Utah District Health Department | Public Health or Welfare | 28 S 100 E, Price, UT 84501-3002 | 2006-08-21 |
| 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.