| Teem Family Clinic | |
|
31 East 800 North Duchesne UT 84066-0238 | |
| (435) 738-8336 | |
| Not Available |
| Full Name | Teem Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 31 East 800 North, Duchesne, Utah |
| Authorized Official Name and Position | Lori Teem (BOARD DIRECTOR) |
| Authorized Official Contact | 4357224705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teem Family Clinic 990 Club House Dr Roosevelt UT 84066-2203 Ph: (435) 722-4705 | Teem Family Clinic 31 East 800 North Duchesne UT 84066-0238 Ph: (435) 738-8336 |
| NPI Number | 1407294614 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Medicare PECOS PAC ID | 2365682200 |
|---|---|
| Medicare Enrollment ID | O20130717000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407294614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 215999-4405 (Utah) | Primary |
| Provider Name | Lori Teem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083675649 PECOS PAC ID: 0749456838 Enrollment ID: I20111220000233 |
Ubmc Clinic Duchesne Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 S 200 E, Duchesne, UT 84021 Phone: 435-738-2845 |