| Intermountain Fillmore Clinic | |
|
700 S Highway 99 #3 Fillmore UT 84631-5134 | |
| (435) 743-5555 | |
| (435) 743-5764 |
| Full Name | Intermountain Fillmore Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 700 S Highway 99, Fillmore, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Fillmore Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 743-5555 | Intermountain Fillmore Clinic 700 S Highway 99 #3 Fillmore UT 84631-5134 Ph: (435) 743-5555 |
| NPI Number | 1023159381 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023159381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | B2007-49 (Utah) | Primary |
| 207V00000X | Obstetrics & Gynecology | B2007-49 (Utah) | Secondary |
Fillmore Community Hospital Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 674 S Highway 99, Fillmore, UT 84631 Phone: 435-743-5591 Fax: 435-743-6312 |