| Hillside Medical Clinic Llc | |
|
118 N Main St Ste B Salem UT 84653-5698 | |
| (801) 477-9007 | |
| (801) 477-9006 |
| Full Name | Hillside Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 N Main St Ste B, Salem, Utah |
| Authorized Official Name and Position | Chad A Parrish (ADMINISTRATOR) |
| Authorized Official Contact | 8014779007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Medical Clinic Llc 118 N Main St Ste B Salem UT 84653-5698 Ph: (801) 477-9007 | Hillside Medical Clinic Llc 118 N Main St Ste B Salem UT 84653-5698 Ph: (801) 477-9007 |
| NPI Number | 1770853962 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 01/12/2012 |
| Medicare PECOS PAC ID | 0941461727 |
|---|---|
| Medicare Enrollment ID | O20120423000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770853962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Frank J Archer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093710998 PECOS PAC ID: 4385748516 Enrollment ID: I20071212000396 |
| Provider Name | Hanford Blitch Shuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013518828 PECOS PAC ID: 5890106454 Enrollment ID: I20201203000390 |
Canyon View Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 591 N State Road 198 Ste 202, Salem, UT 84653 Phone: 801-465-9802 Fax: 801-798-8513 | |
Revere Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-429-8000 | |
Revere Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-429-8000 |