Great Basin Urgent Care Llc | |
1201 S Main St Ste 110 Logan UT 84322-2600 | |
(480) 547-9256 | |
Not Available |
Full Name | Great Basin Urgent Care Llc |
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Speciality | Clinic/Center |
Location | 1201 S Main St Ste 110, Logan, Utah |
Authorized Official Name and Position | Christopher Sessions (MANAGER) |
Authorized Official Contact | 4352133046 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Great Basin Urgent Care Llc 1201 S Main St Ste 110 Logan UT 84321-8504 Ph: (435) 213-3046 | Great Basin Urgent Care Llc 1201 S Main St Ste 110 Logan UT 84322-2600 Ph: (480) 547-9256 |
NPI Number | 1366022444 |
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Provider Enumeration Date | 04/12/2021 |
Last Update Date | 01/27/2023 |
Medicare PECOS PAC ID | 9032516893 |
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Medicare Enrollment ID | O20211111000752 |
Identifier | Type | State | Issuer |
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1366022444 | NPI | - | NPPES |
Provider Name | Christopher J Morgan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245550268 PECOS PAC ID: 5193983369 Enrollment ID: I20120220000126 |
Provider Name | Terin Renee Sessions |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427832849 PECOS PAC ID: 7315336435 Enrollment ID: I20231009002369 |
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