Erica T Meninno, MD | |
220 W 7200 S Ste A, Midvale, UT 84047-1043 | |
(801) 566-5494 | |
(877) 497-4661 |
Full Name | Erica T Meninno |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 220 W 7200 S Ste A, Midvale, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770102899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13214887-1205 (Utah) | Primary |
Entity Name | Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952505117 PECOS PAC ID: 5991698169 Enrollment ID: O20040203000767 |
Mailing Address | Practice Location Address |
---|---|
Erica T Meninno, MD 2621 S 3270 W, West Valley City, UT 84119-1119 Ph: (852) 612-6143 | Erica T Meninno, MD 220 W 7200 S Ste A, Midvale, UT 84047-1043 Ph: (801) 566-5494 |
Dr. Jay Caesar Moreland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 W 7200 S Ste A, 72nd Street Clinic, Chc Inc, Midvale, UT 84047 Phone: 801-566-5494 Fax: 801-561-9647 | |
Dr. Katie Lynn Donnelly, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 E 6850 S, Midvale, UT 84047 Phone: 307-259-8362 | |
Grace Kim Harris, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1225 E Fort Union Blvd, Suite 200, Midvale, UT 84047 Phone: 801-233-4400 Fax: 801-233-4410 | |
Dr. Sarah Miller, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 877-497-4661 | |
Larisa B. Yaroshchuk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 | |
Hugo Rivas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7259 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 915-213-4218 | |
Layne Lloyd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047 Phone: 801-233-4400 Fax: 801-233-4410 |