| Jack Terrell Hinkle Do Pc | |
|
595 S Bluff St Ste 6 St George UT 84770-3593 | |
| (435) 628-5851 | |
| (435) 628-5852 |
| Full Name | Jack Terrell Hinkle Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 595 S Bluff St Ste 6, St George, Utah |
| Authorized Official Name and Position | Jack Hinkle (DO) |
| Authorized Official Contact | 4356285851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Terrell Hinkle Do Pc 595 S Bluff St Ste 6 St George UT 84770-3593 Ph: (435) 628-5851 | Jack Terrell Hinkle Do Pc 595 S Bluff St Ste 6 St George UT 84770-3593 Ph: (435) 628-5851 |
| NPI Number | 1336364215 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 7113960709 |
|---|---|
| Medicare Enrollment ID | O20050606000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336364215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4903985-1204 (Utah) | Primary |
| Provider Name | Jack T Hinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144218652 PECOS PAC ID: 9436192747 Enrollment ID: I20050608000124 |
| Provider Name | Tamarah Lynn Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861041618 PECOS PAC ID: 1557797313 Enrollment ID: I20200214001299 |
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