Nathan Mcclure, | |
2444 N 200 E, North Logan, UT 84341-1579 | |
(435) 213-5722 | |
Not Available |
Full Name | Nathan Mcclure |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2444 N 200 E, North Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841075611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6649062-3501 (Utah) | Primary |
Entity Name | Renew Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548955479 PECOS PAC ID: 5698133726 Enrollment ID: O20230622001752 |
Mailing Address | Practice Location Address |
---|---|
Nathan Mcclure, 2444 N 200 E, North Logan, UT 84341-1579 Ph: (435) 213-5722 | Nathan Mcclure, 2444 N 200 E, North Logan, UT 84341-1579 Ph: (435) 213-5722 |
Dana Marie Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 186 E 1800 N Ste 1, North Logan, UT 84341 Phone: 435-213-3026 | |
Rachel White, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 50 E 2500 N Ste 104, North Logan, UT 84341 Phone: 435-213-1109 | |
Samuel Harris Pond, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2027 N 200 E, North Logan, UT 84341 Phone: 435-764-6312 | |
Andrea Ellis Bott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2072 N Main St Ste 205, North Logan, UT 84341 Phone: 435-213-1638 | |
Leila Elmi-stuart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 93 E 1600 N, North Logan, UT 84341 Phone: 435-279-6036 Fax: 435-753-9047 | |
Heather Elizabeth Olsen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 186 E 1800 N, North Logan, UT 84341 Phone: 435-754-9554 Fax: 435-752-1095 |