| Carbon Medical Service Association, Incorporated | |
|
125 S Main St Helper UT 84526-1535 | |
| (435) 472-7000 | |
| (435) 472-3208 |
| Full Name | Carbon Medical Service Association, Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 S Main St, Helper, Utah |
| Authorized Official Name and Position | Carolyn Sue Abeyta (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4358884411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Medical Service Association, Incorporated Po Box 930 East Carbon UT 84520-0930 Ph: (435) 888-4411 | Carbon Medical Service Association, Incorporated 125 S Main St Helper UT 84526-1535 Ph: (435) 472-7000 |
| NPI Number | 1679749196 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 02/04/2021 |
| Medicare PECOS PAC ID | 4183535115 |
|---|---|
| Medicare Enrollment ID | O20090210000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679749196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |