| Callahan Clinic, Pc | |
|
1240 E 100 S Suite 15-a St George UT 84790-3001 | |
| (435) 656-5323 | |
| (435) 656-5127 |
| Full Name | Callahan Clinic, Pc |
|---|---|
| Speciality | General Practice |
| Location | 1240 E 100 S, St George, Utah |
| Authorized Official Name and Position | Thomas Dee Callahan (PRESIDENT) |
| Authorized Official Contact | 4356565323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Callahan Clinic, Pc 1240 E 100 S Suite 15-a St George UT 84790-3001 Ph: (435) 656-5323 | Callahan Clinic, Pc 1240 E 100 S Suite 15-a St George UT 84790-3001 Ph: (435) 656-5323 |
| NPI Number | 1609046853 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 02/18/2014 |
| Medicare PECOS PAC ID | 0446146864 |
|---|---|
| Medicare Enrollment ID | O20040224000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609046853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 1594201205 (Utah) | Primary |
| Provider Name | Douglas Dee Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265540355 PECOS PAC ID: 8022904796 Enrollment ID: I20040227000672 |
| Provider Name | Thomas D Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043328123 PECOS PAC ID: 9032005467 Enrollment ID: I20060103000559 |
| Provider Name | Amanda Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720216021 PECOS PAC ID: 5294953527 Enrollment ID: I20140828002248 |
| Provider Name | Thomas C Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164861027 PECOS PAC ID: 9335449057 Enrollment ID: I20160504001930 |
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