| Roosevelt Community Clinic | |
|
409 S 200 E Roosevelt UT 84066-3314 | |
| (435) 781-0757 | |
| (435) 781-2628 |
| Full Name | Roosevelt Community Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 409 S 200 E, Roosevelt, Utah |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Community Clinic 409 S 200 E Roosevelt UT 84066-3314 Ph: (435) 781-0757 | Roosevelt Community Clinic 409 S 200 E Roosevelt UT 84066-3314 Ph: (435) 781-0757 |
| NPI Number | 1871834960 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871834960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Roosevelt Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 S 200 E, Roosevelt, UT 84066 Phone: 435-725-3327 Fax: 435-725-3331 | |
Ubmc Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-725-7448 Fax: 435-722-9291 |