GARFIELD COUNTY (NPI# 1619179751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619179751 |
| Entity Type | Organization |
| Organization Name | GARFIELD COUNTY |
| Other Organization Name | KAZAN IVAN W. MEMORIAL CLINIC |
| Practice Address |
65 N Center Escalante UT 84726-0276 |
| Mailing Address |
4646 Lake Park Blvd Salt Lake City UT 84120-8212 |
| Practice Telephone | 4358264374 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | MR. ALBERTO VASQUEZ (ADMINISTRATOR) |
| Authorized Official Telephone | 4356768811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kazan Ivan W. Memorial Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467999524 | Garfield County | Nursing Facility/Intermediate Care Facility | 200 N 450 E, Panguitch, UT 84759 | 2017-01-27 |
| 1598200297 | Garfield County | Clinic/Center | 200 N 400 E St, Panguitch, UT 84759 | 2017-01-04 |
| 1649472796 | Garfield County | Clinic/Center | 110 S 100 E, Circleville, UT 84723 | 2007-06-01 |
| 1790987840 | Garfield County | Clinic/Center | 425 E State St, Orderville, UT 84758 | 2007-06-01 |
| 1013119155 | Garfield County | Clinic/Center | 25 S Redrock Dr, Cannonville, UT 84718-8001 | 2007-06-01 |
| 1861548927 | Garfield County | Ambulance | 32 North 100 East, Panguitch, UT 84759 | 2007-01-25 |
| 1356350219 | Garfield County | Clinic/Center | 200 N 400 E, Panguitch, UT 84759 | 2006-08-07 |
| 1508836867 | Garfield County | Medicare Defined Swing Bed Unit | 400 E 200 N, Panguitch, UT 84759-0389 | 2006-01-26 |
| 1629449350 | Garfield County | Non-emergency Medical Transport (VAN) | 195 W 14th, Rifle, CO 81650-4700 | 2015-10-07 |
| 1871829168 | Garfield County | Public Health or Welfare | 2014 Blake Ave, Glenwood Springs, CO 81601-4229 | 2009-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | GARFIELD COUNTY CAPITAL IMPROVEMENTS, INC. | 120 West Third Street, Rifle, CO 81650 |
| Washington State Corporations | GARFIELD COUNTY CHRISTIAN YOUTH PROGRAM | 836 Main St, Pomeroy, WA 99347-0264 |
| Colorado Business Entities | Garfield County Commercial Investments, LLC | 5121 Park Lane, Dallas, TX 75220 |
| Colorado Business Entities | Garfield County Connection LLC | 761 Rood Ave, Grand Junction, CO 81501 |
| System for Award Management (SAM) Entities | GARFIELD COUNTY CONSERVATION DISTRICT | 400 Main St, Jordan, MT 59337-0000 |
| System for Award Management (SAM) Entities | GARFIELD COUNTY DIALYSIS | 204 S Van Buren St Ste A, Enid, OK 73703-5812 |
| Colorado Business Entities | GARFIELD COUNTY FINANCE AUTHORITY | 108 8th Street, Ste 201, 108 8th Street, Ste 101, Glenwood Springs, CO 81601 |
| System for Award Management (SAM) Entities | GARFIELD COUNTY FIRE DISTRICT 1 | 949 Main St, Pomeroy, WA 99347 |
| System for Award Management (SAM) Entities | GARFIELD COUNTY HIGH SCHOOL | 324 Marguerite St, Jordan, MT 59337-0000 |
| System for Award Management (SAM) Entities | GARFIELD COUNTY LIBRARY | 207 East Avenue, Rifle, CO 81650-2301 |
| Street Address |
65 N CENTER |
| City | ESCALANTE |
| State | UT |
| Zip Code | 84726-0276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134562903 | Mark William Anderson | Marriage & Family Therapist | 500 S. 580 W., Escalante, UT 84726 | 2013-04-11 |
| 1962826362 | Wayne Community Health Centers Inc | Pharmacy | 65 N Center St, Escalante, UT 84726-0276 | 2014-02-06 |
| 1568886000 | Wayne Community Health Centers Inc | Clinic/Center | 570 E Moqui Ln, Escalante, UT 84726-0276 | 2014-02-04 |
| 1952616591 | Turn-about Ranch, Inc. | Psychiatric Residential Treatment Facility | 280 North 300 East, Escalante, UT 84726-0345 | 2010-08-06 |
| 1497096457 | Jennifer Marie Evans | Pharmacist | 570 E Moqui Ln, Escalante, UT 84726-7753 | 2013-03-14 |
| 1114542388 | Acorn Care LLC | In Home Supportive Care | 60 E 100 N, Escalante, UT 84726-7828 | 2020-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871014092 | Wayne Community Health Centers, Inc | Clinic/Center | 65 North Center Street, Escalante, UT 84776-0276 | 2017-06-28 |
| 1134562903 | Mark William Anderson | Marriage & Family Therapist | 500 S. 580 W., Escalante, UT 84726 | 2013-04-11 |
| 1497096457 | Jennifer Marie Evans | Pharmacist | 570 E Moqui Ln, Escalante, UT 84726-7753 | 2013-03-14 |
| 1952616591 | Turn-about Ranch, Inc. | Psychiatric Residential Treatment Facility | 280 North 300 East, Escalante, UT 84726-0345 | 2010-08-06 |
| 1114542388 | Acorn Care LLC | In Home Supportive Care | 60 E 100 N, Escalante, UT 84726-7828 | 2020-06-12 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992980866 | Donald Wain Allen | Clinic/Center | 228 West 200 South, Suite 2, Kamas, UT 84036-0159 | 2008-01-09 |
| 1558558627 | Robert L Smith Dc PC | Clinic/Center | 55 E Center St, Panguitch, UT 84759 | 2007-10-02 |
| 1649472796 | Garfield County | Clinic/Center | 110 S 100 E, Circleville, UT 84723 | 2007-06-01 |
| 1790987840 | Garfield County | Clinic/Center | 425 E State St, Orderville, UT 84758 | 2007-06-01 |
| 1013119155 | Garfield County | Clinic/Center | 25 S Redrock Dr, Cannonville, UT 84718-8001 | 2007-06-01 |
| 1659402774 | Mountain Utah Family Medicine | Clinic/Center | 850 North Main St, Ste 3, Richfield, UT 84701-1848 | 2007-03-08 |
| 1043845365 | C & B Family Practice | Clinic/Center | 4601 N 16750 W, Altonah, UT 84002-0332 | 2020-03-06 |
| 1871834960 | Ashley Valley Physician Practice LLC | Clinic/Center | 409 S 200 E, Roosevelt, UT 84066-3314 | 2013-03-14 |
| 1720379936 | Gregory Iverson Family Medicine Pllc | Clinic/Center | 142 South 50 East, Coalville, UT 84017-0865 | 2011-04-21 |
| 1043501257 | Gregory Iverson Family Medicine, Pllc | Clinic/Center | 228 West 200 South, Kamas, UT 84036-0159 | 2011-04-21 |
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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.