UTAH NAVAJO HEALTH SYSTEM INC (NPI# 1811549256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811549256 |
| Entity Type | Organization |
| Organization Name | UTAH NAVAJO HEALTH SYSTEM INC |
| Practice Address |
East Highway 262 Montezuma Creek UT 84534-0130 |
| Mailing Address |
Po Box 130 Montezuma Creek UT 84534-0130 |
| Practice Telephone | 4356513700 |
| Practice Fax Number | 4356780608 |
| Mailing Telephone | 4356513700 |
| Mailing Fax Number | 4356780608 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | MICHAEL JENSEN (CEO) |
| Authorized Official Telephone | 4356513713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1811991151 | 05 |
| Other Name | Type Code |
|---|---|
| Utah Navajo Health System Behavioral Health | Doing Business As Name - Organization |
| Street Address |
EAST HIGHWAY 262 |
| City | MONTEZUMA CREEK |
| State | UT |
| Zip Code | 84534-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697365 | Freddie Riggs | Physician Assistant | East Highway 262, Montezuma Creek, UT 84534-0130 | 2005-05-27 |
| 1821533811 | Pfawnn Eskee | Social Worker | East Highway 262, Montezuma Creek, UT 84543-0130 | 2016-12-29 |
| 1356710412 | Haley Parker | Physician Assistant | East Highway 262, Montezuma Creek, UT 84534-0130 | 2015-09-18 |
| 1033511563 | Jesse Alvin Moses | Physician Assistant | East Highway 262, Montezuma Creek, UT 84534-0130 | 2014-09-16 |
| 1255730701 | Crystal Sekaquaptewa | Dentist | East Highway 262, Montezuma Creek, UT 84534-0130 | 2014-08-21 |
| 1013320415 | Lauren Hannibal | Dietitian, Registered | East Highway 262, Montezuma Creek, UT 84534-0130 | 2014-06-04 |
| 1699197319 | Richard Lee Hendy | Social Worker | East Highway 262, Montezuma Creek, UT 84534-0130 | 2014-01-15 |
| 1134541972 | Kori Dawn Keylon | Physician Assistant | East Highway 262, Montezuma Creek, UT 84534-0130 | 2014-01-14 |
| 1598198434 | Utah Navajo Health System, Incorporated | Ambulance | East Highway 262, Montezuma Creek, UT 84534 | 2013-08-14 |
| 1174956007 | Utah Navajo Health System, Incorporated | Non-emergency Medical Transport (VAN) | East Highway 262, Montezuma Creek, UT 84534 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447492624 | Angela Dawn Konecki | Pharmacist | E Highway 262, Montezuma Creek Clinic Chc Pharmacy, Montezuma Creek, UT 84534 | 2009-04-02 |
| 1871733170 | Eugene L Meyer | Pharmacist | East Hwy #262, Montezuma Creek, UT 84534 | 2009-02-26 |
| 1457344566 | Brian F Olsen | Dentist | East Hwy 262, Unhs Dental, Montezuma Creek, UT 84534 | 2005-08-24 |
| 1285636449 | Terry R Cook | Podiatrist | 1478 East Hwy 162, Montezuma Creek, UT 84534 | 2005-06-01 |
| 1811991151 | Utah Navajo Health System, Incorporated | Family Medicine | 1478 East Highway 162, Montezuma Creek, UT 84534 | 2005-06-01 |
| 1114557204 | Deborah Woody | Counselor | 1478 East Highway 162, Montezuma Creek, UT 84534 | 2020-01-17 |
| 1346802824 | Cook Foot and Ankle LLC | Podiatrist | 1478 East Hwy 162, Montezuma Creek, UT 84534 | 2019-07-03 |
| 1457821035 | Aeron Clason | Dietitian, Registered | 1478 East Highway 162, Montezuma Creek, UT 84534 | 2018-11-27 |
| 1205318227 | Alan Quin Wygant | Nurse Practitioner | 1478 East Highway 162, Montezuma Creek, UT 84534 | 2018-09-06 |
| 1396097143 | Brian F. Olsen, Dds, Pllc | Dentist | East Hwy 262, Montezuma Creek, UT 84534 | 2012-10-03 |
| Find all providers in zip 84534 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1710532619 | Solstone, LLC | Clinic/Center | 1353 N 1075 W Ste 204, Farmington, UT 84025-2772 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
| City | MONTEZUMA CREEK |
| Zip Code | 84534 |
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| 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.