Spanish Valley Clinic | |
5555 Old Airport Road Spanish Valley UT 84532 | |
(435) 587-1234 | |
Not Available |
Full Name | Spanish Valley Clinic |
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Speciality | Clinic/Center |
Location | 5555 Old Airport Road, Spanish Valley, Utah |
Authorized Official Name and Position | Clayton Holt (CEO) |
Authorized Official Contact | 4355871116 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Spanish Valley Clinic Po Box 308 Monticello UT 84535-0308 Ph: (435) 587-2116 | Spanish Valley Clinic 5555 Old Airport Road Spanish Valley UT 84532 Ph: (435) 587-1234 |
NPI Number | 1588978738 |
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Provider Enumeration Date | 07/29/2010 |
Last Update Date | 01/04/2024 |
Medicare PECOS PAC ID | 4486541851 |
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Medicare Enrollment ID | O20211007002090 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588978738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |