| Utah Navajo Health System, Incorporated | |
|
#2 Rainbow Road Navajo Mountain UT 84511 | |
| (928) 672-2498 | |
| (928) 672-2839 |
| Full Name | Utah Navajo Health System, Incorporated |
|---|---|
| Speciality | Family Medicine |
| Location | #2 Rainbow Road, Navajo Mountain, Utah |
| Authorized Official Name and Position | Michael Jensen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4356513713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Navajo Health System, Incorporated Po Box 130 Montezuma Creek UT 84534 Ph: (435) 651-3291 | Utah Navajo Health System, Incorporated #2 Rainbow Road Navajo Mountain UT 84511 Ph: (928) 672-2498 |
| NPI Number | 1740318401 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 1658275649 |
|---|---|
| Medicare Enrollment ID | O20120207000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740318401 | NPI | - | NPPES |
| 1811991151 | Other | UT | NPI # MAIN LOCATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |