| Montezuma Creek Community Health Center | |
|
East Highway 262 Montezuma Creek UT 84534 | |
| (435) 651-3291 | |
| (435) 651-3291 |
| Full Name | Montezuma Creek Community Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | East Highway 262, Montezuma Creek, Utah |
| Authorized Official Name and Position | Michael Jensen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4356513713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montezuma Creek Community Health Center Po Box 130 Montezuma Creek UT 84534 Ph: (435) 651-3291 | Montezuma Creek Community Health Center East Highway 262 Montezuma Creek UT 84534 Ph: (435) 651-3291 |
| NPI Number | 1932386612 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932386612 | NPI | - | NPPES |
| 1811991151 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Montezuma Creek Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1478 East Highway 162, Montezuma Creek, UT 84534 Phone: 435-651-3766 Fax: 435-651-3376 |