SAN JUAN CLINIC
NPI 1659315877
Clinic/Center - Rural Health in Monticello, UT

Q: What is San Juan County Hospital's NPI number?

The NPI number for San Juan County Hospital is 1659315877. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as San Juan Clinic.

Q: What is San Juan County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since June 16, 2006CLIA 46D0960484 · Waiver

380 W 100 N, SUITE A, MONTICELLO, UT 84535(435) 587-5054(435) 587-3004 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About San Juan Clinic NPPES

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

SAN JUAN CLINIC (NPI 1659315877) is a healthcare organization registered as a rural health in Monticello, Utah and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Clayton Holt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1659315877

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSAN JUAN COUNTY HOSPITAL

Location Address380 W 100 N, SUITE AMonticello, UT 84535-1054

Mailing AddressPo Box 1054Monticello, UT 84535-1054 · (435) 587-5054 · Fax (435) 587-3004

Phone(435) 587-5054

Fax(435) 587-3004

Organization SubpartNo

Authorized OfficialClayton HoltCfo · (435) 587-1112

Enumeration DateJune 16, 2006

Last NPPES UpdateJuly 17, 2024

NPPES CertifiedJuly 17, 2024

✔ NPI 1659315877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in UT · 2011-HOSP-203

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2005-HOSP-203 (UT)

380 W 100 N, Monticello, UT 84535

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Other Names 1

Doing Business AsSan Juan Clinic

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

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 46D0960484

San Juan Clinic · Monticello, UT

Active · expires May 10, 2027

CLIA Number46D0960484

Laboratory TypeCommunity Clinic

Certificate Effective DateMay 11, 2025

Certificate Expiration DateMay 10, 2027

Laboratory DirectorNicole Fox

Laboratory Phone(435) 587-5054

Laboratory LocationSan Juan Clinic380 W 100 N, Monticello, UT 84535

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KADE SHUMWAY LYMAN

Orthopaedic Surgery (Sports Medicine)