| Blanding Family Practice Community Health Center | |
|
910 S 300 W Blanding UT 84511-3910 | |
| (435) 678-3601 | |
| (435) 678-3610 |
| Full Name | Blanding Family Practice Community Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 910 S 300 W, Blanding, Utah |
| Authorized Official Name and Position | Michael Jensen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4356513713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanding Family Practice Community Health Center Po Box 130 Montezuma Creek UT 84534-0130 Ph: (435) 651-3766 | Blanding Family Practice Community Health Center 910 S 300 W Blanding UT 84511-3910 Ph: (435) 678-3601 |
| NPI Number | 1457489486 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 1658275649 |
|---|---|
| Medicare Enrollment ID | O20120203000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457489486 | NPI | - | NPPES |
| 1811991151 | Other | UT | NPI # FOR MAIN LOCATION |
| 1811991151 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Blanding Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 735 S 200 W, Blanding, UT 84511 Phone: 435-678-2254 Fax: 435-678-2534 |