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CH084980 UTAH NAVAJO HEALTH SYSTEM, INCORPORATED (Active)
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Main Details
Name
UTAH NAVAJO HEALTH SYSTEM, INCORPORATED
Subdivision Name
Montezuma Creek Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000296
340B ID
CH084980
Grant Number
H80CS00820
Additional Details
Current Program Status
Active
Registration Date
1/1/2002
Participating Start Date
1/1/2002
Participating Approval Date
3/15/2005
Last Recertification Date
2/16/2025
Contacts
Authorizing Official
UNHS
Michael Jensen, CEO
(435) 651-3291
Primary Contact
UNHS
CHAD MOSES, PHARMACY DIRECTOR
(435) 678-0431
Addresses
Street Address
1478 East Highway 162
Montezuma Creek, UT 84534-0131
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADDED STREET ADDRESS, 3/15/05 - ADDED ADDRESS HEADER
03/15/2005
May 2025
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