MONTEZUMA CREEK COMMUNITY HEALTH CENTER
NPI 1811991151
Clinic/Center - Federally Qualified Health Center (FQHC) in Montezuma Creek, UT

Q: What is Utah Navajo Health System, Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since June 01, 2005CLIA 46D0879816 · Accreditation

1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534(435) 651-3766(435) 651-3376 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2023, Jul 19, 2019, Jun 11, 2019 and 4 more (7 updates tracked since 2017).

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About Montezuma Creek Community Health Center NPPES

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

MONTEZUMA CREEK COMMUNITY HEALTH CENTER (NPI 1811991151) is a healthcare organization registered as a federally qualified health center (fqhc) in Montezuma Creek, Utah and active in the NPI registry since June 2005. The organization holds an CLIA Accreditation certificate valid through October 20, 2026 and lists Andrew Evans, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811991151

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameUTAH NAVAJO HEALTH SYSTEM, INCORPORATED

Location Address1478 EAST HIGHWAY 162Montezuma Creek, UT 84534

Mailing AddressPo Box 130Montezuma Creek, UT 84534-0130 · (435) 651-3766 · Fax (435) 651-3376

Phone(435) 651-3766

Fax(435) 651-3376

Organization SubpartNo

Authorized OfficialAndrew EvansCfo · (435) 651-3716

Enumeration DateJune 1, 2005

Last NPPES UpdateApril 14, 20237 updates tracked since enumeration

NPPES CertifiedApril 14, 2023

✔ NPI 1811991151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X · License FQHC NOT REQUIRED (UT)

1478 EAST HIGHWAY 162, Montezuma Creek, UT 84534

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Other Names 1

Doing Business AsMontezuma Creek Community Health Center

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.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 Accreditation 46D0879816

Montezuma Creek Community Health Center · Montezuma Creek, UT

Active · expires Oct 20, 2026

CLIA Number46D0879816

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 21, 2024

Certificate Expiration DateOctober 20, 2026

Laboratory DirectorDr. Lioyd V. Jones

Laboratory Phone(435) 678-0705

Laboratory LocationMontezuma Creek Community Health Center1478 East Highway 162, Montezuma Creek, UT 84534

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

WILLIAM A CUSKELLY MD

Family Medicine