| Castle Country Family Medicine | |
|
377 No. Fairgrounds Rd. Price UT 84501-4211 | |
| (435) 613-2200 | |
| (435) 613-2201 |
| Full Name | Castle Country Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 377 No. Fairgrounds Rd., Price, Utah |
| Authorized Official Name and Position | Pat A Stapley (BILLING) |
| Authorized Official Contact | 4356132210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Country Family Medicine 377 No. Fairgounds Rd. Price UT 84501-4216 Ph: (435) 613-2200 | Castle Country Family Medicine 377 No. Fairgrounds Rd. Price UT 84501-4211 Ph: (435) 613-2200 |
| NPI Number | 1982815064 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 12/01/2010 |
| Medicare PECOS PAC ID | 9335236868 |
|---|---|
| Medicare Enrollment ID | O20071031000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982815064 | NPI | - | NPPES |
| DF8294 | Other | UT | RAILROAD MEDICARE |
| 529513346027 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 361555-1205 (Utah) | Primary |
| Provider Name | Donna Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467454413 PECOS PAC ID: 4082528294 Enrollment ID: I20031112000776 |
| Provider Name | Shane D Gagon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508951328 PECOS PAC ID: 6204740251 Enrollment ID: I20031114000299 |
| Provider Name | Daniel C Monahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225030661 PECOS PAC ID: 6507804614 Enrollment ID: I20050420000145 |
| Provider Name | Tiffany B Noyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225576267 PECOS PAC ID: 1052683240 Enrollment ID: I20170823001880 |
| Provider Name | Lindsey Rux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477105856 PECOS PAC ID: 5496170490 Enrollment ID: I20200807002323 |
| Provider Name | Marcos D Valdez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043874324 PECOS PAC ID: 5294069431 Enrollment ID: I20220526001099 |
| Provider Name | Amanda Lively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982064622 PECOS PAC ID: 2365724184 Enrollment ID: I20220527000553 |
| Provider Name | Alison Patrice Marrelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306388574 PECOS PAC ID: 0446639058 Enrollment ID: I20220628000201 |
| Provider Name | Camrey Dawn Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427660737 PECOS PAC ID: 2668833997 Enrollment ID: I20230802001691 |
Positive Pathways Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23 S Carbon Ave, Suite 21, Price, UT 84501 Phone: 435-299-5003 | |
Desert Rock Internal Medicine & Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 W Hospital Dr, Suite 4, Price, UT 84501 Phone: 435-637-7801 Fax: 435-637-7800 | |
Castleview Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 East 100 North, Price, UT 84501 Phone: 435-637-5061 Fax: 435-637-1899 | |
Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 W Hospital Dr, Suite 8, Price, UT 84501 Phone: 435-637-6348 Fax: 435-637-6422 | |
Nicholas G Hanson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 N Hospital Dr, Ste 4, Price, UT 84501 Phone: 435-637-2300 Fax: 435-637-1581 | |
Castleview Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 N Hospital Dr, Price, UT 84501 Phone: 435-636-4836 Fax: 435-637-8819 | |
Eastern Utah Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 N Hospital Dr, Suite # 4, Price, UT 84501 Phone: 435-637-3584 Fax: 435-637-3587 |