| James Madison Elementary Health Center | |
|
2240 Adams Ave Ogden UT 84401-1511 | |
| (801) 334-1327 | |
| Not Available |
| Full Name | James Madison Elementary Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2240 Adams Ave, Ogden, Utah |
| Authorized Official Name and Position | Sonja Maria Levesque (CFO) |
| Authorized Official Contact | 8013341327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Madison Elementary Health Center 2563 Monroe Blvd Ogden UT 84401-2513 Ph: () - | James Madison Elementary Health Center 2240 Adams Ave Ogden UT 84401-1511 Ph: (801) 334-1327 |
| NPI Number | 1447495981 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 02/13/2009 |
| Medicare PECOS PAC ID | 0345135414 |
|---|---|
| Medicare Enrollment ID | O20090213000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447495981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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