| Blanding Medical Clinic | |
|
735 S 200 W Blanding UT 84511-3922 | |
| (435) 678-2254 | |
| (435) 678-2534 |
| Full Name | Blanding Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 735 S 200 W, Blanding, Utah |
| Authorized Official Name and Position | Farley Crofts (CFO) |
| Authorized Official Contact | 4355871116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanding Medical Clinic 735 S 200 W Blanding UT 84511-3909 Ph: (435) 678-2254 | Blanding Medical Clinic 735 S 200 W Blanding UT 84511-3922 Ph: (435) 678-2254 |
| NPI Number | 1821045840 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 07/17/2024 |
| Medicare PECOS PAC ID | 4486541851 |
|---|---|
| Medicare Enrollment ID | O20050714000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821045840 | NPI | - | NPPES |
| 876000309120 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2005HOSP-203 (Utah) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Blanding Family Practice Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 S 300 W, Blanding, UT 84511 Phone: 435-678-3601 Fax: 435-678-3610 |