| Utah Navajo Health System, Incorpoarted | |
|
#2 Rainbow Road Navajo Mountain UT 86044 | |
| (928) 672-2839 | |
| (928) 672-2839 |
| Full Name | Utah Navajo Health System, Incorpoarted |
|---|---|
| Speciality | Dentist - General Practice |
| Location | #2 Rainbow Road, Navajo Mountain, Utah |
| Authorized Official Name and Position | Michael Jensen (CEO) |
| Authorized Official Contact | 4356513713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Navajo Health System, Incorpoarted Po Box 130 Montezuma Creek UT 84534-0130 Ph: (435) 651-3291 | Utah Navajo Health System, Incorpoarted #2 Rainbow Road Navajo Mountain UT 86044 Ph: (928) 672-2839 |
| NPI Number | 1336277904 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336277904 | NPI | - | NPPES |
| 1811991151 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 296101-9922 (Utah) | Primary |