<unavail> in North Logan, UT - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in North Logan, Utah. The current practice location for is 1515 N 400 E Ste 104, North Logan, Utah. For appointments, you can reach them via phone at (435) 755-6061. The mailing address for is 500 S 11th Ave Ste 400, Pocatello, Idaho and phone number is (208) 232-7862.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457067381. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (435) 755-6061.

Contact Information


	1515 N 400 E Ste 104 North Logan UT 84341-7595
	(435) 755-6061
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1515 N 400 E Ste 104, North Logan, Utah
Authorized Official Name and Position	Amelia Murphy (MEDICAL STAFF COORDINATOR)
Authorized Official Contact	2082327862
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
500 S 11th Ave Ste 400 Pocatello ID 83201-4880 Ph: (208) 232-7862	1515 N 400 E Ste 104 North Logan UT 84341-7595 Ph: (435) 755-6061

NPI Details:

NPI Number	1457067381
Provider Enumeration Date	01/24/2023
Last Update Date	01/09/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4981500931
Medicare Enrollment ID	O20240814004495

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457067381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in North Logan, UT

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2150 N Main St Ste 3, North Logan, UT 84341 Phone: 435-716-8765 Fax: 435-915-3700
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 N 400 E Ste 104, North Logan, UT 84341 Phone: 435-946-3660
Affinity Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2380 N 400 E Ste B, North Logan, UT 84341 Phone: 435-276-0888 Fax: 823-471-4536
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 N 200 E, North Logan, UT 84341 Phone: 620-397-3442
Low T Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 N Main St Ste 10, North Logan, UT 84341 Phone: 833-468-5698

- Medicare Primary Care in North Logan, UT