| Four Corners Community Behavioral Health Inc | |
|
77 S 600 E Price UT 84501-3174 | |
| (435) 637-7289 | |
| Not Available |
| Full Name | Four Corners Community Behavioral Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 77 S 600 E, Price, Utah |
| Authorized Official Name and Position | Jeanie Willson (CFO) |
| Authorized Official Contact | 4356377200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Community Behavioral Health Inc Po Box 867 Price UT 84501-0867 Ph: (435) 637-7200 | Four Corners Community Behavioral Health Inc 77 S 600 E Price UT 84501-3174 Ph: (435) 637-7289 |
| NPI Number | 1164048492 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 06/23/2020 |
| Certification Date | 06/23/2020 |
| Medicare PECOS PAC ID | 2769377415 |
|---|---|
| Medicare Enrollment ID | O20200928002126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164048492 | NPI | - | NPPES |
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