| Mid-valley Health Clinic | |
|
8446 S Harrison St Midvale UT 84047-3501 | |
| (801) 417-0131 | |
| (801) 250-3204 |
| Full Name | Mid-valley Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 8446 S Harrison St, Midvale, Utah |
| Authorized Official Name and Position | Kurt Micka (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8014170131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-valley Health Clinic 8446 S Harrison St Midvale UT 84047-3501 Ph: (801) 417-0131 | Mid-valley Health Clinic 8446 S Harrison St Midvale UT 84047-3501 Ph: (801) 417-0131 |
| NPI Number | 1508299892 |
|---|---|
| Provider Enumeration Date | 08/09/2013 |
| Last Update Date | 10/02/2013 |
| Medicare PECOS PAC ID | 8224262480 |
|---|---|
| Medicare Enrollment ID | O20131002000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508299892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Utah) | Primary |
| Provider Name | Sarah L Woolsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427035187 PECOS PAC ID: 9133144587 Enrollment ID: I20051013001103 |
| Provider Name | Amy L Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861437113 PECOS PAC ID: 3173586344 Enrollment ID: I20080102000582 |
| Provider Name | Lyle J Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215238688 PECOS PAC ID: 6406008408 Enrollment ID: I20121219000415 |
| Provider Name | Katherine Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316491327 PECOS PAC ID: 6709174816 Enrollment ID: I20161005001235 |
| Provider Name | Abigail Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396180386 PECOS PAC ID: 0941568554 Enrollment ID: I20180102002426 |
| Provider Name | Vanesa Abad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902380249 PECOS PAC ID: 6002154986 Enrollment ID: I20190219002820 |
| Provider Name | Nathan Zacharias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902255847 PECOS PAC ID: 6002100252 Enrollment ID: I20220421002454 |
| Provider Name | Nancy M Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144994344 PECOS PAC ID: 6204275779 Enrollment ID: I20240416004207 |
72nd Street Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 W 7200 S, Suite A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 877-497-4661 | |
Stellar Pcp Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 E Fort Union Blvd Ste B, Midvale, UT 84047 Phone: 801-694-1198 | |
Mindful Mobile Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 E Fort Union Blvd Ste 105, Midvale, UT 84047 Phone: 801-879-2664 | |
Integral Rehabilitation, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6771 S 900 E, Midvale, UT 84047 Phone: 801-696-5257 Fax: 801-683-1589 | |
Mountain View Diabetes Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 E Fort Union Blvd Ste 103, Midvale, UT 84047 Phone: 801-822-3315 | |
Midvale Family Health Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7852 Pioneer St, Midvale, UT 84047 Phone: 801-561-2211 Fax: 801-561-1076 |