SAN JUAN HEALTH – NPI #1114121100
Clinic/Center

SAN JUAN HEALTH is an AHC clinic located in MONTICELLO, UT. NPPES has assigned the NPI number 1114121100 to SAN JUAN HEALTH on June 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAN JUAN HEALTH” is a dba name, the actual legal business name for this organization is SAN JUAN COUNTY HOSPITAL. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was last updated on Jul 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN JUAN HEALTH below.

NPI Profile for
SAN JUAN COUNTY HOSPITAL

NPI Number
1114121100
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN JUAN COUNTY HOSPITAL
Doing Business As (dba): SAN JUAN HEALTH
Primary location
380 WEST 100 NORTH
MONTICELLO, UT 84535-0308
Phone: (435) 587-1123 Fax: (435) 587-3016
Mailing address
PO BOX 308
MONTICELLO, UT 84535-0308
Phone: (435) 587-2116 Fax: (435) 587-2061
Organization Subpart
No
Authorized Official
FARLEY CROFTS
CFO
Phone: (435) 587-1116
Updated
Certification Date
Aug 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)		 UT 2006-HOSP-203

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.