Enoch Healthcare | |
476 E Midvalley Rd Enoch UT 84721-7603 | |
(435) 263-0355 | |
(435) 263-0123 |
Full Name | Enoch Healthcare |
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Speciality | Family Medicine |
Location | 476 E Midvalley Rd, Enoch, Utah |
Authorized Official Name and Position | Ashley Starr (OFFICE MANAGER / COO) |
Authorized Official Contact | 4352630355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Enoch Healthcare 376 East Midvalley Road Enoch UT 84721 Ph: (435) 263-0355 | Enoch Healthcare 476 E Midvalley Rd Enoch UT 84721-7603 Ph: (435) 263-0355 |
NPI Number | 1659945343 |
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Provider Enumeration Date | 05/17/2021 |
Last Update Date | 10/06/2022 |
Medicare PECOS PAC ID | 9739584053 |
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Medicare Enrollment ID | O20210825002410 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659945343 | NPI | - | NPPES |
1225432669 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |