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CH08498A UTAH NAVAJO HEALTH SYSTEM, INCORPORATED (Active)
Main Details
Name
UTAH NAVAJO HEALTH SYSTEM, INCORPORATED
Subdivision Name
Navajo Mountain Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003946
340B ID
CH08498A
Grant Number
H80CS00820
Contacts
Authorizing Official
UNHS
Michael Jensen, CEO
(435) 651-3291
Primary Contact
UNHS
CHAD MOSES, PHARMACY DIRECTOR
(435) 678-0431
Additional Details
Current Program Status
Active
Registration Date
10/8/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/25/2018
Last Recertification Date
1/30/2024
Addresses
Street Address
#2 Rainbow Road
Navajo Mountain, UT 86044-1010
Billing Address
Utah Navajo Health System Inc
1478 East Hwy 162
Montezuma Creek, UT 84534
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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