Navajo Mountain Community Health Center | |
#2 Rainbow Road Navajo Mountain UT 84511 | |
(928) 672-2498 | |
(928) 672-2839 |
Full Name | Navajo Mountain Community Health Center |
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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 |
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Navajo Mountain Community Health Center Po Box 130 Montezuma Creek UT 84534 Ph: (435) 651-3291 | Navajo Mountain Community Health Center #2 Rainbow Road Navajo Mountain UT 84511 Ph: (928) 672-2498 |
NPI Number | 1740318401 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 06/11/2019 |
Medicare PECOS PAC ID | 1658275649 |
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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 |