Utah Navajo Health System Incorporated

A Medicare group practice based in Montezuma Creek, UT: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1658275649), with 67 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658275649The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
TX, UT
Enrollments
6
Group size
47 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 4 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20031121000239 UT Part B Supplier - Clinic/Group Practice 1811991151
O20100326000298 UT Part A Provider - Federally Qualified Health Center (FQHC) 1811991151
O20120203000741 UT Part A Provider - Federally Qualified Health Center (FQHC) 1457489486
O20120203000735 UT Part A Provider - Federally Qualified Health Center (FQHC) 1699803635
O20140513000007 UT Part B Supplier - Ambulance Service Supplier 1598198434
O20220412001209 TX MDPP Supplier - in-Person MDPP Supplier 1811991151

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 67

Clinicians who reassign their Medicare benefits to this group (66) or whom Care Compare lists as members (47).

Sources for this page