San Juan River Medical

LBN: Utah Navajo Health System, Incorporated
San Juan River Medical is an health care organization with primary practice located at 799 S 200 W , Blanding UT 84511-3909. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Utah Navajo Health System, Incorporated can be contacted via phone (435) 678-0733, or through Holly, Garrett via phone (435) 651-3718.

Contact Information

Primary practice address
799 S 200 W Blanding UT 84511-3909
Phone: (435) 678-0733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holly, Garrett
Phone: (435) 651-3718

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1992292544
LBN Legal business name Utah Navajo Health System, Incorporated
DBA Doing business as San Juan River Medical
Authorized official Holly, Garrett
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2018
Last updated Jun 11th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992292544 NPPES
Utah MEDICAID 1811991151

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