NPIMap

Organization Active NPI

Utah Navajo Health System, Incorpoarted

  • Emergency Medicine Physician
  • Blanding, UT
National Provider Identifier
1972145811
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
UTAH NAVAJO HEALTH SYSTEM, INCORPOARTED
Practice address
802 S 200 W
Blanding, UT 84511-3910
Phone
(435) 651-3890
NPI assigned
Oct 11, 2019
Last updated
Jan 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Michael Jensen
Title
Ceo
Phone
(435) 651-3713

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary
Obstetrics Physician 207VX0000X NU

Addresses

Primary practice location

802 S 200 W
Blanding, UT 84511-3910

Mailing address

PO Box 130
Montezuma Creek, UT 84534-0130
Phone (435) 651-3700

Other practice location 1

1478 East Highway 162
Montezuma Creek, UT 84534-8453
Phone (435) 651-3700

National Provider Directory

National Provider Directory
Tax ID family
Utah Navajo Health System Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1972145811",
    "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": "845340130",
            "telephone_number": "435-651-3700",
            "fax_number": "435-678-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S 200 W",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113910",
            "telephone_number": "435-651-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1478 East Highway 162",
            "address_purpose": "LOCATION",
            "city": "Montezuma Creek",
            "state": "UT",
            "postal_code": "845348453",
            "country_code": "US",
            "telephone_number": "435-651-3700",
            "fax_number": "435-678-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UTAH NAVAJO HEALTH SYSTEM, INCORPOARTED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-651-3713"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanding, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.