Utah Navajo Health System, Incorporated

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UTAH NAVAJO HEALTH SYSTEM, INCORPORATED

Practice address

#2 Rainbow Road
Navajo Mountain, UT 84511

Phone

(928) 672-2498

Fax

(928) 672-2839

NPI assigned

Mar 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Jensen

Title

Chief Executive Officer

Phone

(435) 651-3713

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Navajo Mountain Community Health Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Villaluz Duterte, NP

  • Nurse Practitioner
  • San Mateo, CA
  • NPI 1821361528
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1740318401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "84534",
            "telephone_number": "435-651-3291",
            "fax_number": "435-651-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#2 RAINBOW ROAD",
            "city": "NAVAJO MOUNTAIN",
            "state": "UT",
            "postal_code": "84511",
            "telephone_number": "928-672-2498",
            "fax_number": "928-672-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH NAVAJO HEALTH SYSTEM, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "435-651-3713",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # MAIN LOCATION",
            "identifier": "1811991151",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navajo Mountain Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Navajo Mountain Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Utah Navajo Health System Incorporated
• Utah Navajo Health System, Incorpoarted

• Family Medicine Physician in Navajo Mountain, UT
• Providers in Navajo Mountain, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.