| San Juan County Hospital | |
|
5555 Old Airport Road Spanish Valley UT 84532 | |
| (435) 587-1234 | |
| Not Available |
| Full Name | San Juan County Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 5555 Old Airport Road, Spanish Valley, Utah |
| Authorized Official Name and Position | Clayton Holt (CEO) |
| Authorized Official Contact | 4355871116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan County Hospital Po Box 308 Monticello UT 84535-0308 Ph: (435) 587-2116 | San Juan County Hospital 5555 Old Airport Road Spanish Valley UT 84532 Ph: (435) 587-1234 |
| NPI Number | 1588978738 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 4486541851 |
|---|---|
| Medicare Enrollment ID | O20211007002090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588978738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |