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601 East Center Street Panguitch UT 84759 | |
(435) 826-4374 | |
(435) 826-4354 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 601 East Center Street, Panguitch, Utah |
Authorized Official Name and Position | Evan Christensen (CEO) |
Authorized Official Contact | 4354253744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 303 Wayne Community Health Centers Inc. Bicknell UT 84715-0303 Ph: () - | 601 East Center Street Panguitch UT 84759 Ph: (435) 826-4374 |
NPI Number | 1891142071 |
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Provider Enumeration Date | 05/18/2016 |
Last Update Date | 11/29/2016 |
Identifier | Type | State | Issuer |
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1891142071 | NPI | - | NPPES |
000055193 | Other | UT | MEDICARE PART B OSCAR |