| North Cache Valley Clinic | |
|
4088 N Highway 91 Hyde Park UT 84318 | |
| (435) 563-4900 | |
| Not Available |
| Full Name | North Cache Valley Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4088 N Highway 91, Hyde Park, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHYS EXEC/PRES-IMGROUP) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Cache Valley Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 563-3222 | North Cache Valley Clinic 4088 N Highway 91 Hyde Park UT 84318 Ph: (435) 563-4900 |
| NPI Number | 1740324581 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740324581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 149 (Utah) | Primary |
| 207V00000X | Obstetrics & Gynecology | 149 (Utah) | Secondary |
Be Well Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3935 N 75 W, Hyde Park, UT 84318 Phone: 435-359-0720 |