| Imed Utah Heart - Monticello | |
|
380 W 100 N Monticello UT 84535-0308 | |
| (801) 507-3500 | |
| Not Available |
| Full Name | Imed Utah Heart - Monticello |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 380 W 100 N, Monticello, Utah |
| Authorized Official Name and Position | Kelly J Howard (DIRECTOR) |
| Authorized Official Contact | 8014421425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imed Utah Heart - Monticello Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 507-3533 | Imed Utah Heart - Monticello 380 W 100 N Monticello UT 84535-0308 Ph: (801) 507-3500 |
| NPI Number | 1043444805 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 05/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043444805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
San Juan Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 380 W 100 N, Suite A, Monticello, UT 84535 Phone: 435-587-5054 Fax: 435-587-3004 | |
San Juan Health Services District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 380 West 100 North, Monticello, UT 84535 Phone: 435-587-2116 Fax: 435-587-2061 |