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200 N 400 E Panguitch UT 84759-0389 | |
(435) 676-8811 | |
(435) 676-2679 |
Full Name | |
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Speciality | Clinic/Center |
Location | 200 N 400 E, Panguitch, Utah |
Authorized Official Name and Position | Deann Brown (ADMINISTRATOR) |
Authorized Official Contact | 4356768811 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 30180 Salt Lake City UT 84130-0180 Ph: () - | 200 N 400 E Panguitch UT 84759-0389 Ph: (435) 676-8811 |
NPI Number | 1760684815 |
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Provider Enumeration Date | 06/01/2007 |
Last Update Date | 06/23/2022 |
Medicare PECOS PAC ID | 6305744459 |
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Medicare Enrollment ID | O20050630001141 |
Identifier | Type | State | Issuer |
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1760684815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Robert L Smith Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 E Center St, Panguitch, UT 84759 Phone: 435-676-8966 Fax: 435-676-8966 | |