| Mojave Health, Llc | |
|
965 E 700 S Ste 205 St George UT 84790-4085 | |
| (435) 602-3272 | |
| Not Available |
| Full Name | Mojave Health, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 965 E 700 S Ste 205, St George, Utah |
| Authorized Official Name and Position | Gary Macdonald (CO-OWNER & PHYSICIAN) |
| Authorized Official Contact | 4355749146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mojave Health, Llc 965 E 700 S Ste 205 St George UT 84790-4085 Ph: (435) 574-9146 | Mojave Health, Llc 965 E 700 S Ste 205 St George UT 84790-4085 Ph: (435) 602-3272 |
| NPI Number | 1588393821 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 07/12/2022 |
| Medicare PECOS PAC ID | 5698158327 |
|---|---|
| Medicare Enrollment ID | O20220813000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588393821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Patrick Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518271097 PECOS PAC ID: 6305087826 Enrollment ID: I20130725000946 |
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