SAN JUAN PUBLIC HEALTH
NPI 1275050353
Preventive Medicine - Public Health & General Preventive Medicine in Blanding, UT

Q: What is San Juan Public Health Special Service District's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Active since August 29, 2017CLIA 46D2127700 · Waiver

735 SOUTH 200 WEST, SUITE B, BLANDING, UT 84511(435) 678-2723(435) 678-3309 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 29, 2017 (2 updates tracked since 2017).

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About San Juan Public Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN JUAN PUBLIC HEALTH (NPI 1275050353) is a healthcare organization registered as a public health & general preventive medicine in Blanding, Utah and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Kirk W Benge, Director, as its authorized official.

NPPES Registry Identity

NPI1275050353

Entity TypeOrganization

Primary Taxonomy2083P0901X

Legal Business NameSAN JUAN PUBLIC HEALTH SPECIAL SERVICE DISTRICT

Location Address735 SOUTH 200 WEST, SUITE BBlanding, UT 84511

Mailing AddressPo Box EBlanding, UT 84511-0089 · (435) 678-2723 · Fax (435) 678-3309

Phone(435) 678-2723

Fax(435) 678-3309

Organization SubpartNo

Authorized OfficialKirk W BengeDirector · (435) 678-2723

Enumeration DateAugust 29, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1275050353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

735 SOUTH 200 WEST, Blanding, UT 84511

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Other Names 1

Doing Business AsSan Juan Public Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2127700

San Juan Public Health · Blanding, UT

Active · expires Dec 11, 2027

CLIA Number46D2127700

Laboratory TypePublic Health Laboratories

Certificate Effective DateDecember 12, 2025

Certificate Expiration DateDecember 11, 2027

Laboratory DirectorAutumn M. Bradford

Laboratory Phone(435) 587-3838

Laboratory LocationSan Juan Public Health735 S 200 W, Ste 2, Blanding, UT 84511

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Juan Public Health Special Service District's NPI number?

The NPI number for San Juan Public Health Special Service District is 1275050353. It was assigned to this organization in the NPPES registry on August 29, 2017. The provider is doing business as San Juan Public Health.

Where is San Juan Public Health Special Service District located?

San Juan Public Health Special Service District is located at 735 South 200 West Suite B, Blanding, UT 84511. The listed phone number is (435) 678-2723.

What is San Juan Public Health Special Service District's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Does San Juan Public Health Special Service District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2127700) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Juan Public Health Special Service District was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.