<unavail> in Providence, UT

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Providence, Utah. The current practice location for is 517 W 100 N Ste 110, Providence, Utah. For appointments, you can reach them via phone at (435) 755-6075. The mailing address for is 517 W 100 N Ste 210, Providence, Utah and phone number is (435) 755-6061.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1649546938. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (435) 755-6075.

Contact Information


	517 W 100 N Ste 110 Providence UT 84332-9826
	(435) 755-6075
	(435) 994-8362

Map and Direction

Primary Care Clinic Profile

Full Name
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 and Practice Location

Mailing Address	Practice Location Address
517 W 100 N Ste 210 Providence UT 84332-9826 Ph: (435) 755-6061	517 W 100 N Ste 110 Providence UT 84332-9826 Ph: (435) 755-6075

NPI Details:

NPI Number	1649546938
Provider Enumeration Date	03/30/2012
Last Update Date	06/06/2022

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649546938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Providence, UT

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 N Gateway Dr Ste 130, Providence, UT 84332 Phone: 435-227-5371 Fax: 385-900-1612
Primary Care Clinic Medicare: Medicare Enrolled 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
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

- Primary Care in Providence, UT