WAYNE COMMUNITY HEALTH CENTERS INC (NPI# 1093816282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093816282 |
Entity Type | Organization |
Organization Name | WAYNE COMMUNITY HEALTH CENTERS INC |
Practice Address |
128 S 300 W Bicknell UT 84715 |
Mailing Address |
Po Box 303 Bicknell UT 84715-0303 |
Practice Telephone | 4354253744 |
Practice Fax Number | 4354253785 |
Mailing Telephone | 4354253744 |
Mailing Fax Number | 4354253785 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2016-11-29 |
Authorized Official Name | MRS. ASHLEE LYMAN (INSURANCE SPECIALIST) |
Authorized Official Telephone | 4354251112 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962826362 | Wayne Community Health Centers Inc | Pharmacy | 65 N Center St, Escalante, UT 84726-0276 | 2014-02-06 |
1093863342 | Wayne Community Health Centers Inc | Clinic/Center | 30 South Hwy 95, Hanksville, UT 84734 | 2007-01-05 |
1568886000 | Wayne Community Health Centers Inc | Clinic/Center | 570 E Moqui Ln, Escalante, UT 84726-0276 | 2014-02-04 |
Street Address |
128 S 300 W |
City | BICKNELL |
State | UT |
Zip Code | 84715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861874687 | Zachary Snedeger | Physician Assistant | 128 S 300 W, Bicknell, UT 84715-0303 | 2015-06-29 |
1750525630 | Jay Stilson | Dentist | 128 S 300 W, Bicknell, UT 84715-0303 | 2009-04-23 |
1831387679 | Sherree C Rechtsteiner | Nurse Practitioner | 128 S 300 W, Bicknell, UT 84715 | 2007-10-05 |
1437353133 | Rosalynd Nell Munson | Marriage & Family Therapist | 128 S 300 W, Bicknell, UT 84715-0303 | 2007-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780896308 | Wayne School District | Local Education Agency (LEA) | 79 N 100 W, Bicknell, UT 84715 | 2007-05-04 |
1447351424 | Leland Jeffrey Chappell | Family Medicine | 128 S. 300 W., Bicknell, UT 84715 | 2006-09-25 |
1891791604 | Donavan Thales Smith | Pharmacist | 128 South 300 West, Bicknell, UT 84715 | 2005-06-27 |
1699228692 | Andrew Dale Kennedy | Dentist | 128 South 300 West, Bicknell, UT 84715 | 2016-07-27 |
1770039356 | Ryan White | Nurse Practitioner | 128 South 300 West, Bicknell, UT 84715-0303 | 2016-09-01 |
1376568188 | Wayne Community Health Center Pharmacy | Pharmacy | 128 South 300 West, Bicknell, UT 84715-0303 | 2006-07-13 |
1972726859 | W. Scott Andersen | Dentist | 374 S. 300 E., Bicknell, UT 84715-0320 | 2007-04-10 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1740836345 | The Lift Clinic, LLC | Clinic/Center | 345 W 100 S # 6c, Slc, UT 84101-1209 | 2019-08-11 |
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1063986800 | Healthworks Med Group of Utah P C | Clinic/Center | 4163 S 3200 W, West Valley City, UT 84119-5128 | 2019-01-15 |
1235615790 | Community Birth Group | Clinic/Center | 1190 E 5425 S Ste 330, South Ogden, UT 84403-4548 | 2018-07-17 |
1275044075 | Edge Medical Services Inc. | Clinic/Center | 959 W Sedge Ct, Farmington, UT 84025-2541 | 2017-10-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.