| Valley West Medical, Llc | |
|
323 N Main St Tooele UT 84074-1652 | |
| (435) 233-7900 | |
| Not Available |
| Full Name | Valley West Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 323 N Main St, Tooele, Utah |
| Authorized Official Name and Position | Andrew Caldwell (OWNER) |
| Authorized Official Contact | 4358490000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley West Medical, Llc 323 N Main St Tooele UT 84074-1652 Ph: (435) 233-7900 | Valley West Medical, Llc 323 N Main St Tooele UT 84074-1652 Ph: (435) 233-7900 |
| NPI Number | 1508558156 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 08/15/2024 |
| Medicare PECOS PAC ID | 1759738057 |
|---|---|
| Medicare Enrollment ID | O20231108000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508558156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Joy Ellen Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558930628 PECOS PAC ID: 3072966738 Enrollment ID: I20240129004165 |
Valley Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2376 N 400 E Ste 102, Tooele, UT 84074 Phone: 435-843-1225 Fax: 435-843-1228 | |
Oasis Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1929 Aaron Dr, Suite I, Tooele, UT 84074 Phone: 435-833-0229 Fax: 435-833-0231 | |
Spine And Posture Rehabilitation Of Tooele Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Main St, Suite 2, Tooele, UT 84074 Phone: 435-882-1621 Fax: 435-882-8267 | |
Tooele Clinic Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1887 Aaron Dr Ste B, Tooele, UT 84074 Phone: 435-775-9973 Fax: 435-775-9985 | |
Granger Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E Ste 201, Tooele, UT 84074 Phone: 801-352-5900 Fax: 801-352-5914 | |
Ram C Sharma, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 S 100 E, Tooele, UT 84074 Phone: 435-882-0424 Fax: 435-843-1511 | |
Blake R. Beazer, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2356 N 400 E, Ste. 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 |