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376 N Paiute Dr Cedar City UT 84721 | |
(435) 867-1520 | |
(435) 238-4987 |
Full Name | |
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Speciality | Clinic/Center |
Location | 376 N Paiute Dr, Cedar City, Utah |
Authorized Official Name and Position | Tara Porath (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4358671520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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440 N Paiute Dr Cedar City UT 84720-2681 Ph: (435) 586-1112 | 376 N Paiute Dr Cedar City UT 84721 Ph: (435) 867-1520 |
NPI Number | 1700062296 |
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Provider Enumeration Date | 01/14/2008 |
Last Update Date | 12/18/2023 |
Medicare PECOS PAC ID | 3072414952 |
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Medicare Enrollment ID | O20040127000849 |
Identifier | Type | State | Issuer |
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1700062296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Steven R Newman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134157613 PECOS PAC ID: 9931175346 Enrollment ID: I20090708000574 |
Provider Name | Jody Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366927584 PECOS PAC ID: 5698108488 Enrollment ID: I20191210000259 |
Provider Name | Glendon Arly Pedersen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942591441 PECOS PAC ID: 6406146034 Enrollment ID: I20231208002835 |
Provider Name | Brent J. Lambeth |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1003281643 PECOS PAC ID: 4385093590 Enrollment ID: I20231213003280 |
Provider Name | Michelle Morriss |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1932487386 PECOS PAC ID: 1254782451 Enrollment ID: I20240112000393 |
North Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 E Canyon Commercial Ave, Cedar City, UT 84720 Phone: 435-867-8050 Fax: 435-867-8083 | |
Steven C Taggart Od Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 S Providence Center Dr, Cedar City, UT 84720 Phone: 435-865-2809 | |
Cedar City Chiropractic And Rehabilitation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Sage Dr Ste E, Cedar City, UT 84720 Phone: 435-867-6354 | |
Advanced Family Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1760 N Main St, Suite 103, Cedar City, UT 84721 Phone: 435-867-0644 | |