| Midvale Family Health Clinic Inc | |
|
7852 Pioneer St Midvale UT 84047-7415 | |
| (801) 561-2211 | |
| (801) 561-1076 |
| Full Name | Midvale Family Health Clinic Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7852 Pioneer St, Midvale, Utah |
| Authorized Official Name and Position | Kimberly Ann Spangrude (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 8015612211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midvale Family Health Clinic Inc 7852 Pioneer St Midvale UT 84047-7415 Ph: (801) 561-2211 | Midvale Family Health Clinic Inc 7852 Pioneer St Midvale UT 84047-7415 Ph: (801) 561-2211 |
| NPI Number | 1497702112 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497702112 | NPI | - | NPPES |
| 571963692001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 223145-4405, (Utah) | Primary |
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