SAN JUAN COUNTY HOSPITAL (NPI# 1821045840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821045840 |
| Entity Type | Organization |
| Organization Name | SAN JUAN COUNTY HOSPITAL |
| Other Organization Name | BLANDING MEDICAL CLINIC |
| Practice Address |
804 N 400 W Blanding UT 84511-3417 |
| Practice Telephone | 4356782254 |
| Practice Fax Number | 4356782534 |
| Mailing Telephone | 4356782254 |
| Mailing Fax Number | 4356782534 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | CLAYTON H. HOLT (CEO) |
| Authorized Official Telephone | 4355872116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2005HOSP-203 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 876000309120 | 05 |
| Other Name | Type Code |
|---|---|
| Blanding Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588978738 | San Juan County Hospital | Family Medicine | 11850 S Highway 191 Ste B10, Moab, UT 84532-3924 | 2010-07-29 |
| 1659315877 | San Juan County Hospital | Family Medicine | 380 W 100 N, Suite A, Monticello, UT 84535-1054 | 2006-06-16 |
| 1942251459 | San Juan County Hospital | Medicare Defined Swing Bed Unit | 380 West 100 North, Monticello, UT 84535-0308 | 2006-05-12 |
| 1831351816 | San Juan County Hospital | Medicare Defined Swing Bed Unit | 380 W 100 N, Monticello, UT 84535-0308 | 2008-06-30 |
| 1114121100 | San Juan County Hospital | Clinic/Center | 380 West 100 North, Monticello, UT 84535-0308 | 2007-06-13 |
| Street Address |
804 N 400 W |
| City | BLANDING |
| State | UT |
| Zip Code | 84511-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878949 | Mahana S Fisher | Family Medicine | 804 N 400 W, Blanding, UT 84511-3417 | 2005-08-15 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740761360 | Dashelle Holliday | Family Medicine | 735 S 200 W, Blanding, UT 84511-3909 | 2018-08-22 |
| 1457489486 | Utah Navajo Health System, Incorporated | Family Medicine | 910 S 300 W, Blanding, UT 84511-3910 | 2007-03-01 |
| 1114002151 | Anna M Day | Family Medicine | 799 So 200 W, Blanding, UT 84511 | 2006-10-26 |
| 1700878949 | Mahana S Fisher | Family Medicine | 804 N 400 W, Blanding, UT 84511-3417 | 2005-08-15 |
| 1932102514 | Lloyd Val Jones | Family Medicine | 799 S 200 W, Blanding, UT 84511-3909 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453160 | Utah Valley Natural Health Clinic | Family Medicine | 3311 N University Ave Ste 100, Provo, UT 84604-7432 | 2020-10-06 |
| 1528665411 | Rejuvaroom LLC | Family Medicine | 954 N 200 E, Spanish Fork, UT 84660-1247 | 2020-10-05 |
| 1356957468 | Aubrie Dawn Tilley | Family Medicine | 1741 E Imperial Park Ln, Salt Lake City, UT 84106-3379 | 2020-09-23 |
| 1588274013 | Jack L Cox | Family Medicine | 1588 N Dutch Meadows Ln, Midway, UT 84049-1275 | 2020-08-10 |
| 1457969834 | Sandra Lee Porter | Family Medicine | 3979 S Jester Dr, Salt Lake City, UT 84123-1227 | 2020-07-21 |
| 1265057673 | Onsite Care Clinics | Family Medicine | 230 S 500 E Ste 510, Salt Lake City, UT 84102-2028 | 2020-06-11 |
| 1154942985 | Healing Center of Utah | Family Medicine | 2630 W 3500 S Ste B, West Valley City, UT 84119-3113 | 2020-05-04 |
| 1649805813 | Hilorie Edwards Garside | Family Medicine | 3024 W 300 N Ste 3, West Point, UT 84015-7258 | 2020-03-09 |
| 1417595497 | Regenerative Medicine of Utah, LLC | Family Medicine | 2297 N Hill Field Rd Ste 101, Layton, UT 84041-6927 | 2019-12-20 |
| 1871131623 | In Home Provider | Family Medicine | 2432 Concord Ave, Santa Clara, UT 84765-5621 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
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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.