| Mountain Utah Family Medicine | |
|
879 N Main St Richfield UT 84701-1840 | |
| (435) 896-9561 | |
| Not Available |
| Full Name | Mountain Utah Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 879 N Main St, Richfield, Utah |
| Authorized Official Name and Position | David M Pope (MD) |
| Authorized Official Contact | 4358969561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Utah Family Medicine 879 N Main St Richfield UT 84701-1840 Ph: (435) 896-9561 | Mountain Utah Family Medicine 879 N Main St Richfield UT 84701-1840 Ph: (435) 896-9561 |
| NPI Number | 1659402774 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 07/16/2024 |
| Medicare PECOS PAC ID | 9830276112 |
|---|---|
| Medicare Enrollment ID | O20080410000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659402774 | NPI | - | NPPES |
| 528925279034 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 463813 (Utah) | Primary |
| Provider Name | David M Pope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467554451 PECOS PAC ID: 8022901701 Enrollment ID: I20040205000984 |
| Provider Name | Rebekah Amy Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306801949 PECOS PAC ID: 4486610581 Enrollment ID: I20041209000326 |
| Provider Name | Blake O Zobell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720026560 PECOS PAC ID: 7911926738 Enrollment ID: I20051121001018 |
| Provider Name | Dixie Rasmussen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740385046 PECOS PAC ID: 3476876459 Enrollment ID: I20170501002051 |
| Provider Name | Sadie Christine Dahlsrud |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497040356 PECOS PAC ID: 2769737790 Enrollment ID: I20180615001072 |
| Provider Name | Russell Douglas Sorenson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215298559 PECOS PAC ID: 1759790348 Enrollment ID: I20210512000304 |
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