| Beehive Comprehensive Clinic Inc. | |
|
3409 W 12600 S Ste 230 Riverton UT 84065-7270 | |
| (801) 252-6116 | |
| (801) 508-2787 |
| Full Name | Beehive Comprehensive Clinic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3409 W 12600 S Ste 230, Riverton, Utah |
| Authorized Official Name and Position | Heidi Vawdrey (PRESIDENT/CEO) |
| Authorized Official Contact | 8012526116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beehive Comprehensive Clinic Inc. 13890 S Lookout Peak Dr Riverton UT 84096-6440 Ph: (801) 252-6116 | Beehive Comprehensive Clinic Inc. 3409 W 12600 S Ste 230 Riverton UT 84065-7270 Ph: (801) 252-6116 |
| NPI Number | 1922622950 |
|---|---|
| Provider Enumeration Date | 06/05/2020 |
| Last Update Date | 08/12/2020 |
| Medicare PECOS PAC ID | 8628495801 |
|---|---|
| Medicare Enrollment ID | O20200902002038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922622950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Heidi S Vawdrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184144594 PECOS PAC ID: 5698048155 Enrollment ID: I20170905001210 |
| Provider Name | Rachel Emmeline Harken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518528199 PECOS PAC ID: 4486071461 Enrollment ID: I20200908000372 |
| Provider Name | Willard Robert Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992329288 PECOS PAC ID: 6406253236 Enrollment ID: I20210922000107 |
| Provider Name | Christina Maruyama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801526363 PECOS PAC ID: 8224499579 Enrollment ID: I20230802002599 |
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