Provider Demographics
NPI:1699950873
Name:UTAH NAVAJO HEALTH SYSTEM, INC.
Entity type:Organization
Organization Name:UTAH NAVAJO HEALTH SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-651-3291
Mailing Address - Street 1:PO BOX 360005
Mailing Address - Street 2:FOUR ROCK DOOR CANYON ROAD
Mailing Address - City:MONUMENT VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84536
Mailing Address - Country:US
Mailing Address - Phone:435-727-3242
Mailing Address - Fax:435-727-3272
Practice Address - Street 1:FOUR ROCK DOOR CANYON ROAD
Practice Address - Street 2:
Practice Address - City:MONUMENT VALLEY
Practice Address - State:UT
Practice Address - Zip Code:84536
Practice Address - Country:US
Practice Address - Phone:435-727-3242
Practice Address - Fax:435-727-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT58496301704333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT4608115OtherNCPDP