National Provider Identifier Database

SAN JUAN COUNTY HOSPITAL
Rural Health


Contact Information

SAN JUAN COUNTY HOSPITAL
380 W 100 N
SUITE A
MONTICELLO, UT84535-1054
Phone: 435-587-5054
Fax: 435-587-3004
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for SAN JUAN COUNTY HOSPITAL

NPI Number 1659315877
Legal business name
LBN
SAN JUAN COUNTY HOSPITAL
Authorized official CLAYTON HOLT - (CFO)
Entity Organization
Organization subpart No
Enumeration date 06/16/2006
Last updated 07/17/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 2005-HOSP-203
  • UT License #: 2011-HOSP-203

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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