| Cache Valley Community Health Center - Providence | |
|
517 W 100 N Ste 110 Providence UT 84332-9826 | |
| (435) 755-6075 | |
| (435) 994-8362 |
| Full Name | Cache Valley Community Health Center - Providence |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 517 W 100 N Ste 110, Providence, Utah |
| Authorized Official Name and Position | Jorge Garcia (CEO) |
| Authorized Official Contact | 4357556061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cache Valley Community Health Center - Providence 517 W 100 N Ste 210 Providence UT 84332-9826 Ph: (435) 755-6061 | Cache Valley Community Health Center - Providence 517 W 100 N Ste 110 Providence UT 84332-9826 Ph: (435) 755-6075 |
| NPI Number | 1649546938 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 06/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649546938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mountainstar Cache Valley Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 | |
Health West Providence Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-213-4225 | |
Living Tree Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 169 N Gateway Dr Ste 170, Providence, UT 84332 Phone: 435-565-6043 Fax: 435-215-4420 | |
Peachtree Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 565 W 465 N Ste 130, Providence, UT 84332 Phone: 435-752-5553 Fax: 435-755-5043 | |
Foot & Ankle Center Of Cache Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1883 |