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MONTEZUMA CREEK COMMUNITY HEALTH CENTER , NPI 1811991151

Family Medicine in MONTEZUMA CREEK, UT

Last Updated on : Jul 19,2019

About MONTEZUMA CREEK COMMUNITY HEALTH CENTER (NPI 1811991151)


MONTEZUMA CREEK COMMUNITY HEALTH CENTER (UTAH NAVAJO HEALTH SYSTEM, INCORPORATED) is a Family Medicine in MONTEZUMA CREEK, United States

1811991151 is NPI number of MONTEZUMA CREEK COMMUNITY HEALTH CENTER.

MONTEZUMA CREEK COMMUNITY HEALTH CENTER's primary taxonomy code based on NPI Lookup is 207Q00000X with license number FQHC not required. This taxonomy code refers to Family Medicine.

MONTEZUMA CREEK COMMUNITY HEALTH CENTER current practice location address is PO BOX 130, 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 1478 EAST HIGHWAY 162, 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 3 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

Name MONTEZUMA CREEK COMMUNITY HEALTH CENTER
National Provider Id (NPI) 1811991151
Entity Type Organization
Practice Address PO BOX 130,
MONTEZUMA CREEK, UT, United States
Practice Telephone 435-651-3766
Practice Fax Number 435-651-3376
Mailing Address 1478 EAST HIGHWAY 162 ,
MONTEZUMA CREEK, UT, United States
Mailing Telephone 435-651-3766
Mailing Fax Number 435-651-3376
Enumeration Date 01-Jun-2005
Last Updated Date 19-Jul-2019

MONTEZUMA CREEK COMMUNITY HEALTH CENTER (NPI 1811991151) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207Q00000X Family Medicine FQHC not required UT

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
461818 MEDICARE OSCAR/Certification (06) UT

MONTEZUMA CREEK COMMUNITY HEALTH CENTER (NPI 1811991151) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1699005751 CHARLOTTE GIBBONS Counselor PO BOX 130,
MONTEZUMA CREEK, UT, United States
12-Jan-2010
1134541972 KORI DAWN KEYLON Physician Assistant, Medical 1478 EAST HIGHWAY 162,
MONTEZUMA CREEK, UT, United States
14-Jan-2014
1699197319 RICHARD LEE HENDY Social Worker, Clinical 1478 EAST HIGHWAY 162,
MONTEZUMA CREEK, UT, United States
15-Jan-2014
1114557204 DEBORAH WOODY Counselor, Mental Health 1478 E. HWY 162,
MONTEZUMA CREEK, UT, United States
17-Jan-2020
1720477508 JOSEPH D. WALKER Physician Assistant PO BOX 130,
MONTEZUMA CREEK, UT, United States
15-Jan-2015
1245470988 VANCE ROBERT TELFORD Dentist EAST HIGHWAY 262,
MONTEZUMA CREEK, UT, United States
20-Feb-2009
1003882531 WILLIAM A CUSKELLY Family Medicine 1478 EAST HIGHWAY 162,
MONTEZUMA CREEK, UT, United States
24-Feb-2006
1871733170 EUGENE L MEYER Pharmacist PO BOX 360004,
MONUMENT VALLEY, UT, United States
26-Feb-2009
1992834006 UTAH NAVAJO HEALTH SYSTEMS INC. Pharmacy PO BOX 130,
MONTEZUMA CREEK, UT, United States
05-Mar-2007
1811428048 DOMINICK RUYBAL Family Medicine 1478 EAST HIGHWAY 162,
MONTEZUMA CREEK, UT, United States
21-Mar-2017
1477057305 JAMES RYAN PALMER Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 802 S 200 W,
BLANDING, UT, United States
23-Mar-2018
1447492624 ANGELA DAWN KONECKI Pharmacist E HIGHWAY 262, MONTEZUMA CREEK CLINIC CHC PHARMACY
MONTEZUMA CREEK, UT, United States
02-Apr-2009
1508494428 UTAH NAVAJO HEALTH SYSTEM INCORPORATED Pharmacy #2 RAINBOW ROAD,
NAVAJO MOUNTAIN, UT, United States
27-Mar-2020
1992292544 UTAH NAVAJO HEALTH SYSTEM, INCORPORATED Durable Medical Equipment & Medical Supplies 799 S 200 W,
BLANDING, UT, United States
19-Apr-2018
1235627936 SWAYZEE LEI RAMAGE Nurse Practitioner, Family 1478 EAST HIGHWAY 162,
MONTEZUMA CREEK, UT, United States
27-Apr-2018
1134168495 CHRIS MATTHEW JOLLEY Dentist, General Practice 30 W MEDICAL DR,
MONUMENT VALLEY, UT, United States
05-Jun-2006
1821435363 TYLER GILSON Pharmacist PO BOX 130,
MONTEZUMA CREEK, UT, United States
23-May-2013
1871930461 EMILY ELIZABETH HUNTER Pharmacist PO BOX 130,
MONTEZUMA CREEK, UT, United States
23-May-2013
1932102514 LLOYD VAL JONES Family Medicine PO BOX 130,
MONTEZUMA CREEK, UT, United States
27-May-2005
1881697365 FREDDIE RIGGS Physician Assistant PO BOX 130,
MONTEZUMA CREEK, UT, United States
27-May-2005

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 PO BOX 130, 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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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