ENTERPRISE VALLEY MEDICAL CLINIC, INC. (NPI# 1659457786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659457786 |
| Entity Type | Organization |
| Organization Name | ENTERPRISE VALLEY MEDICAL CLINIC, INC. |
| Practice Address |
223 South 200 East Enterprise UT 84725-0370 |
| Mailing Address |
Po Box 370 Enterprise UT 84725-0370 |
| Practice Telephone | 4358782281 |
| Practice Fax Number | 4358782434 |
| Mailing Telephone | 4358782281 |
| Mailing Fax Number | 4358782434 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. C.J. HANSEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4358782281 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 05883 | 05 |
| Street Address |
223 SOUTH 200 EAST |
| City | ENTERPRISE |
| State | UT |
| Zip Code | 84725-0370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962509786 | Shelley Sanderson | Nurse Practitioner | 223 South 200 East, Enterprise, UT 84725-0370 | 2006-09-20 |
| 1649335761 | Enterprise Valley Med Ctr Inc | Pharmacy | 223 South 200 East, Enterprise, UT 84725 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942686761 | Stapley Pharmacy, Inc. | Pharmacy | 167 E. Main Street, Enterprise, UT 84725 | 2015-08-04 |
| 1801296538 | Mckay Jones | Specialist/Technologist | 565 S 200 E, Enterprise, UT 84725 | 2014-08-29 |
| 1356574388 | Ryan Steadman | Pharmacist | 660 East Main Street, #a, Enterprise, UT 84725 | 2009-08-25 |
| 1679752141 | Benjamin D Cope | Dentist | 223 S 200 E, Enterprise, UT 84725 | 2007-10-31 |
| 1467473116 | City of Enterprise Ambulance | Ambulance | 375 S. 200 E., Enterprise, UT 84725 | 2006-07-21 |
| 1417253824 | Karl Torgerson | Physician Assistant | 223 S 200 E, Enterprise, UT 84725 | 2011-02-02 |
| 1225265689 | Ktm Health Care Inc | Pharmacy | 660 E Main St, Enterprise, UT 84725 | 2009-06-12 |
| 1740445964 | Benjamin D Cope, Dds, PC | Dentist | 223 S 200 E, Enterprise, UT 84725 | 2008-07-28 |
| 1477717601 | Lonnie J Truman | Physical Therapist | 660 E Main St, Suite B, Enterprise, UT 84725 | 2008-07-16 |
| 1114396702 | Marcus T Burton | Physical Therapist | 660 E Main St Suite B, Enterprise, UT 84725-0549 | 2015-09-24 |
| Find all providers in zip 84725 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1891856134 | Southeast Alabama Rural Health Associates | Clinic/Center | 105 E Watts St, Enterprise, AL 36330-2511 | 2006-12-12 |
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| 1780090944 | Southwest Utah Community Health Center, Inc. | Clinic/Center | 391 North 200 West, Hurricane, UT 84737-1616 | 2014-07-09 |
| 1548588247 | Southwest Utah Community Health Center, Inc | Clinic/Center | 74 W. Harding Ave, Cedar City, UT 84720 | 2010-05-06 |
| 1528128899 | Wasatch Homeless Health Care, Inc. | Clinic/Center | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2006-12-09 |
| 1689754475 | Bear Lake Community Health Center | Clinic/Center | 325 W. Logan Hwy, Garden City, UT 84028-0328 | 2006-10-16 |
| 1942317722 | Green River Medical Center Inc | Clinic/Center | 585 West Main St., Box 417, Green River, UT 84525-0417 | 2006-08-25 |
| 1659358687 | Southwest Utah Community Health Center | Clinic/Center | 25 N 100 E, Suite 102, St George, UT 84770 | 2005-12-30 |
| 1366447112 | Community Health Centers Inc. | Clinic/Center | 1365 W 1000 N, Slc, UT 84116-1654 | 2005-06-17 |
| 1477558237 | Community Health Centers Inc. | Clinic/Center | 8446 Harrison St, Midvale, UT 84047-3568 | 2005-06-17 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 84725 |
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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.