Organization · Type 2 NPI

San Juan County Hospital

Rural Health Clinic/Center · Blanding, UT

NPI number 1821045840 Active

Practice location

735 S 200 W
Blanding, UT 84511-3922

Fax (435) 678-2534

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	2005HOSP-203 (UT)
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Kristopher Hiatt, APRNFamily Nurse Practitioner Blanding, UT NPI 1962134759

NPI record

NPI: 1821045840
Entity type: Organization (Type 2)
Issued: May 27, 2006
Last updated: Jul 17, 2024
Status: Active

Other names

<unavail>
Blanding Clinic · doing business as
Blanding Medical Clinic · doing business as
Blanding Medical Clinic · doing business as
San Juan Clinic-Blanding · doing business as

Authorized official

Farley Crofts
CFO
(435) 587-1116

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821045840

San Juan County Hospital's National Provider Identifier is 1821045840, issued on May 27, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Blanding, UT. The record was last updated on Jul 17, 2024.