| Utah Valley Specialty Hospital Inc | |
|
306 River Bend Ln Provo UT 84604-5625 | |
| (801) 226-8880 | |
| Not Available |
| Full Name | Utah Valley Specialty Hospital Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 306 River Bend Ln, Provo, Utah |
| Authorized Official Name and Position | Denise Kann (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 9722162299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Valley Specialty Hospital Inc 1024 N Galloway Ave Ste 102 Mesquite TX 75149-2434 Ph: (972) 216-2299 | Utah Valley Specialty Hospital Inc 306 River Bend Ln Provo UT 84604-5625 Ph: (801) 226-8880 |
| NPI Number | 1043082464 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 2769489251 |
|---|---|
| Medicare Enrollment ID | O20240115000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043082464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Tracy Arnold Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992711253 PECOS PAC ID: 4981690484 Enrollment ID: I20040421000905 |
| Provider Name | Wade Butaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679703094 PECOS PAC ID: 7012195258 Enrollment ID: I20130219000225 |
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