Monument Valley Health Community Health Center | |
30 West Medical Drive Monument Valley UT 84536-0005 | |
(435) 727-3000 | |
Not Available |
Full Name | Monument Valley Health Community Health Center |
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Speciality | Family Medicine |
Location | 30 West Medical Drive, Monument Valley, 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 |
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Monument Valley Health Community Health Center Po Box 130 Montezuma Creek UT 84534-0130 Ph: (435) 651-3766 | Monument Valley Health Community Health Center 30 West Medical Drive Monument Valley UT 84536-0005 Ph: (435) 727-3000 |
NPI Number | 1699803635 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 06/11/2019 |
Medicare PECOS PAC ID | 1658275649 |
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Medicare Enrollment ID | O20120203000735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699803635 | NPI | - | NPPES |
1811991151 | Other | UT | NPI MAIN LOCATION |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |