MONTEZUMA CREEK COMMUNITY HEALTH CENTER , NPI 1811991151
Clinic/Center in MONTEZUMA CREEK, UT
Last Updated on : Apr 14,2023
About MONTEZUMA CREEK COMMUNITY HEALTH CENTER (NPI 1811991151)
MONTEZUMA CREEK COMMUNITY HEALTH CENTER (UTAH NAVAJO HEALTH SYSTEM, INCORPORATED) is a Clinic/Center in MONTEZUMA CREEK, United States with a focus in Federally Qualified Health Center (FQHC) .
1811991151 is NPI number of MONTEZUMA CREEK COMMUNITY HEALTH CENTER.
MONTEZUMA CREEK COMMUNITY HEALTH CENTER's primary taxonomy code based on NPI Lookup is 261QF0400X with license number . This taxonomy code refers to Clinic/Center.
MONTEZUMA CREEK COMMUNITY HEALTH CENTER current practice location address is 1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT. MONTEZUMA CREEK COMMUNITY HEALTH CENTER can be reached out via phone at 435-651-3766 and via fax at 435-651-3376 .
You can also correspond with MONTEZUMA CREEK COMMUNITY HEALTH CENTER through mail at mailing address PO BOX 130, MONTEZUMA CREEK, UT, United States. Mailing address contact number is 435-651-3766.
The enumeration date of MONTEZUMA CREEK COMMUNITY HEALTH CENTER is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 1 years ago. The authorized official of MONTEZUMA CREEK COMMUNITY HEALTH CENTER is ANDREW EVANS (CFO). ANDREW EVANS can be reached at 4356513716.1811991151 NPI Information
Basic NPI information of MONTEZUMA CREEK COMMUNITY HEALTH CENTER (NPI 1811991151) is provided below.
| Name | MONTEZUMA CREEK COMMUNITY HEALTH CENTER |
|---|---|
| National Provider Id (NPI) | 1811991151 |
| Entity Type | Organization |
| Practice Address | 1478 EAST HIGHWAY 162,
MONTEZUMA CREEK, UT, United States |
| Practice Telephone | 435-651-3766 |
| Practice Fax Number | 435-651-3376 |
| Mailing Address | PO BOX 130 ,
MONTEZUMA CREEK, UT, United States |
| Mailing Telephone | 435-651-3766 |
| Mailing Fax Number | 435-651-3376 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 14-Apr-2023 |
MONTEZUMA CREEK COMMUNITY HEALTH CENTER (NPI 1811991151) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) |
MONTEZUMA CREEK COMMUNITY HEALTH CENTER (NPI 1811991151) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | FQHC NOT REQUIRED | UT |
MONTEZUMA CREEK COMMUNITY HEALTH CENTER (NPI 1811991151) Office Location
Office location of MONTEZUMA CREEK COMMUNITY HEALTH CENTER is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1104129550 | HAL BAWDEN | Dentist | PO BOX 130,
MONTEZUMA CREEK, UT, United States |
07-Dec-2010 |
| 1902160625 | ANDREW CHRISTIAN BAYLESS | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PO BOX 130 EAST HWY 262,
MONTEZUMA CREEK, UT, United States |
27-Jun-2012 |
| 1447347356 | DENNIS L BEASLEY | Pharmacist | PO BOX 130,
MONTEZUMA CREEK, UT, United States |
10-Oct-2006 |
| 1144622440 | SHYRLAN BECK | Physician Assistant | 1055 N 500 W,
ATTN: CREDENTIALING PROVO, UT, United States |
18-Sep-2014 |
| 1518026012 | LEWIS ADAMSON BLACK | Chiropractor | 1478 EAST HIGHWAY 162,
MONTEZUMA CREEK, UT, United States |
08-Dec-2006 |
| 1730120551 | JAMES W BONDS | Surgery | EAST HIGHWAY 262,
MONTEZUMA CREEK, UT, United States |
10-Jun-2006 |
| 1396097143 | BRIAN F. OLSEN, DDS, PLLC | Dentist, General Practice | P.O. BOX 130,
CORTEZ, CO, United States |
03-Oct-2012 |
| 1457821035 | AERON CLASON | Dietitian, Registered | PO BOX 130,
MONTEZUMA CREEK, UT, United States |
27-Nov-2018 |
| 1346802824 | COOK FOOT AND ANKLE LLC | Podiatrist | 1478 EAST HWY 162,
MONTEZUMA CREEK, UT, United States |
03-Jul-2019 |
| 1285636449 | TERRY R COOK | Podiatrist | 1478 EAST HWY 162,
MONTEZUMA CREEK, UT, United States |
01-Jun-2005 |
| 1003882531 | WILLIAM A CUSKELLY | Family Medicine | 1478 EAST HIGHWAY 162,
MONTEZUMA CREEK, UT, United States |
24-Feb-2006 |
| 1518541457 | HUBERT DAYISH | Physician Assistant | 30 WEST MEDICAL DRIVE,
MONUMENT VALLEY, UT, United States |
06-May-2021 |
| 1003307802 | DICK NATHAN EINERSON | Dentist | 311 N 400 W,
BLANDING, UT, United States |
29-May-2018 |
| 1235214289 | KIMBERLY FAIRLEY | Family Medicine | 1478 EAST HIGHWAY 162,
MONTEZUMA CREEK, UT, United States |
26-Oct-2006 |
| 1700878949 | MAHANA S FISHER | Family Medicine | 804 N 400 W,
BLANDING, UT, United States |
15-Aug-2005 |
| 1699005751 | CHARLOTTE GIBBONS | Counselor | PO BOX 130,
MONTEZUMA CREEK, UT, United States |
12-Jan-2010 |
| 1720388382 | BRIAN JAMES GILSON | Pharmacist | PO BOX 130,
MONTEZUMA CREEK, UT, United States |
29-Oct-2010 |
| 1821435363 | TYLER GILSON | Pharmacist | PO BOX 130,
MONTEZUMA CREEK, UT, United States |
23-May-2013 |
| 1891857223 | BRIAN JAMES GOODWINE | Dentist | 217 S 100 WEST,
MONTICELLO, UT, United States |
14-Dec-2006 |
| 1053899690 | MINDY RAE GURLEY | Nurse Practitioner | PO BOX 130,
MONTEZUMA CREEK, UT, United States |
06-Aug-2018 |
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FAQs
Whose NPI Number is 1811991151?1811991151 is the NPI number of MONTEZUMA CREEK COMMUNITY HEALTH CENTER.
Where is MONTEZUMA CREEK COMMUNITY HEALTH CENTER located?MONTEZUMA CREEK COMMUNITY HEALTH CENTER is located at 1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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