| NPI | 1811991151 |
|---|---|
| Doing Business As | MONTEZUMA CREEK COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW EVANS CFO 435-651-3716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT FQHC not required) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2023-04-14 |