SAN JUAN CLINIC
NPI 1659315877
Clinic/Center - Rural Health in Monticello, UT
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
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Juan Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to San Juan Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, UTFrequently 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 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.
Where is San Juan County Hospital located?
San Juan County Hospital is located at 380 W 100 N Suite A, Monticello, UT 84535. The listed phone number is (435) 587-5054.
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.
Is San Juan County Hospital enrolled in Medicare?
Yes. San Juan County Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Juan County Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 11 Medicare specialties reassign their Medicare billing to San Juan County Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6), Certified Registered Nurse Anesthetist (CRNA) (3) and General Surgery (3). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does San Juan County Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D0960484) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does San Juan County Hospital accept?
Health plans from Molina Healthcare and University of Utah Health Plans list San Juan County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for San Juan County Hospital was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# San Juan Clinic · NPI 1659315877
Rural Health organization in Monticello, Utah. Organization record, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1659315877 (Entity type: Organization)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** San Juan County Hospital
- **Organization subpart:** No
- **Authorized official:** Clayton Holt, CFO
## Practice location
- **Address:** 380 W 100 N, SUITE A, Monticello, UT 84535-1054
- **Phone:** (435) 587-5054 · **Fax:** (435) 587-3004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Certified Registered Nurse Anesthetist (CRNA) (3), General Surgery (3); 4 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1659315877/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659315877) · Data from the CMS NPPES public registry.