Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1659315877 |
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| LBN Legal business name | SAN JUAN COUNTY HOSPITAL | ||||||||
| Authorized official | CLAYTON HOLT - (CFO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/16/2006 | ||||||||
| Last updated | 07/17/2024 - More than a year ago | ||||||||
| Identifiers |
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SAN JUAN COUNTY HOSPITAL
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