Carbon Medical Service Association, Incorporated | |
331 Highway 123 Sunnyside UT 84539 | |
(435) 888-4411 | |
(435) 888-2270 |
Full Name | Carbon Medical Service Association, Incorporated |
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Speciality | Clinic/Center |
Location | 331 Highway 123, Sunnyside, 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 |
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Carbon Medical Service Association, Incorporated 305 Center St. P. O. Box 930 East Carbon UT 84520-0930 Ph: (435) 888-4411 | Carbon Medical Service Association, Incorporated 331 Highway 123 Sunnyside UT 84539 Ph: (435) 888-4411 |
NPI Number | 1497717821 |
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Provider Enumeration Date | 04/03/2006 |
Last Update Date | 06/21/2019 |
Medicare PECOS PAC ID | 4183535115 |
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Medicare Enrollment ID | O20050606001229 |
Identifier | Type | State | Issuer |
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1497717821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Utah) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (Utah) | Secondary |
Provider Name | Cameron S Williams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952398463 PECOS PAC ID: 4385557750 Enrollment ID: I20031111000480 |
Provider Name | Douglas W Perkins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497734057 PECOS PAC ID: 5294628939 Enrollment ID: I20040205000782 |
Provider Name | Matthew F Brady |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245263177 PECOS PAC ID: 7618052721 Enrollment ID: I20100830001152 |
Provider Name | Devin W Edwards |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427445964 PECOS PAC ID: 1658651542 Enrollment ID: I20161212001113 |
Provider Name | Dannette H Moynier |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841743135 PECOS PAC ID: 3678853405 Enrollment ID: I20161213000861 |
Provider Name | Kourtney Anne Atwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962928978 PECOS PAC ID: 5799058723 Enrollment ID: I20170913001373 |
Provider Name | Haven A L Halk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972007060 PECOS PAC ID: 9032473590 Enrollment ID: I20180509000653 |
Provider Name | Marvin Joseph Morrison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043599004 PECOS PAC ID: 1052578523 Enrollment ID: I20181022003113 |
Provider Name | Jordan Tatton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558910927 PECOS PAC ID: 0941634596 Enrollment ID: I20200107001962 |
Provider Name | Jeffery Paul Cowley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831723261 PECOS PAC ID: 5597193755 Enrollment ID: I20200323000011 |
Provider Name | Gypsie Marie Delgado |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659090819 PECOS PAC ID: 0345625844 Enrollment ID: I20220920002110 |
Provider Name | Jessica Garner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457093502 PECOS PAC ID: 5395100416 Enrollment ID: I20230425001262 |
Provider Name | Daniel Clin Gibson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508275470 PECOS PAC ID: 4789020090 Enrollment ID: I20240308002867 |
Provider Name | Christopher D. Keil |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306154364 PECOS PAC ID: 5991143760 Enrollment ID: I20240329002592 |
The Helper Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Highway 123, Sunnyside, UT 84539 Phone: 435-888-4411 Fax: 435-888-2270 |