Wayne Community Health Centers Inc | |
128 S 300 W Bicknell UT 84715 | |
(435) 425-3744 | |
(435) 425-3785 |
Full Name | Wayne Community Health Centers Inc |
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Speciality | Clinic/Center |
Location | 128 S 300 W, Bicknell, Utah |
Authorized Official Name and Position | Darci Elmer (BILLING MANAGER) |
Authorized Official Contact | 4354251104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wayne Community Health Centers Inc Po Box 303 Bicknell UT 84715-0303 Ph: (435) 425-3744 | Wayne Community Health Centers Inc 128 S 300 W Bicknell UT 84715 Ph: (435) 425-3744 |
NPI Number | 1093816282 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 11/07/2023 |
Medicare PECOS PAC ID | 1254242233 |
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Medicare Enrollment ID | O20040113000649 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093816282 | NPI | - | NPPES |
Provider Name | Todd Stanley Mooney |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013024330 PECOS PAC ID: 3577461623 Enrollment ID: I20031227000013 |
Provider Name | Leland J Chappell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447351424 PECOS PAC ID: 4587557269 Enrollment ID: I20040205000971 |
Provider Name | David M Pope |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467554451 PECOS PAC ID: 8022901701 Enrollment ID: I20040205000984 |
Provider Name | Mitchell Ray Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659480887 PECOS PAC ID: 8123028990 Enrollment ID: I20061228000397 |
Provider Name | Daniel C Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669672366 PECOS PAC ID: 2668546821 Enrollment ID: I20080806000194 |
Provider Name | Justin D Abbott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184814436 PECOS PAC ID: 5890850523 Enrollment ID: I20090212000712 |
Provider Name | David Jack Watkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649283979 PECOS PAC ID: 2062427818 Enrollment ID: I20100929000477 |
Provider Name | Sherree C Rechtsteiner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831387679 PECOS PAC ID: 7012191752 Enrollment ID: I20110405000372 |
Provider Name | Matthew B Barney |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124313507 PECOS PAC ID: 9931376407 Enrollment ID: I20120124000634 |
Provider Name | Bart Tiberius Hunter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437383932 PECOS PAC ID: 1557582384 Enrollment ID: I20150309000481 |
Provider Name | Cole W Robinson |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1871799528 PECOS PAC ID: 5890012116 Enrollment ID: I20150714000690 |
Provider Name | Theron A Draper |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679874580 PECOS PAC ID: 2668774381 Enrollment ID: I20160112001160 |
Provider Name | Dixie Rasmussen |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1740385046 PECOS PAC ID: 3476876459 Enrollment ID: I20170501002051 |
Provider Name | Sadie Christine Dahlsrud |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1497040356 PECOS PAC ID: 2769737790 Enrollment ID: I20180615001072 |
Provider Name | Deann Robinson Brown |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1497863393 PECOS PAC ID: 8729119631 Enrollment ID: I20190516002078 |
Provider Name | Nathaniel M Barusch |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548648520 PECOS PAC ID: 3375879653 Enrollment ID: I20190724001587 |
Provider Name | Tonya Coates |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902448236 PECOS PAC ID: 1951720325 Enrollment ID: I20201005000917 |
Provider Name | Joshua Truman Chapman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790378917 PECOS PAC ID: 4082021514 Enrollment ID: I20210330002514 |
Provider Name | Chad R Cottam |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720551617 PECOS PAC ID: 9739596842 Enrollment ID: I20210407001255 |
Provider Name | Mckenzie Ree Ellett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164119160 PECOS PAC ID: 7719342724 Enrollment ID: I20230426002605 |
Provider Name | Robert Michael Peyton |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1609083716 PECOS PAC ID: 9436501004 Enrollment ID: I20240118004033 |
Provider Name | Korin K Richins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831568351 PECOS PAC ID: 1153765987 Enrollment ID: I20240220001565 |