Selanie A Sanone Leavitt (NPI# 1932380839, PAC ID# 4981502358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1932380839 |
PAC ID by PECOS | 4981502358 |
Professional Enrollment ID | I20031222000874 |
Full Name | Selanie A Sanone Leavitt |
Organization Legal Name | BEAR LAKE COMMUNITY HEALTH CENTER |
Address |
325 W Logan Hwy Garden City UT 84028 |
Phone Number | 4359463660 |
Gender | F |
Credential | NP |
Graduation Year | 2003 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9032020037 |
Number of Group Practice Members | 25 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
131316 | BEAR LAKE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
5 W 200, Brigham City, UT 84302-2109 | 4357237999 | BEAR LAKE COMMUNITY HEALTH CENTER |
325 W Logan Hwy, Garden City, UT 84028 | 4359463660 | BEAR LAKE COMMUNITY HEALTH CENTER |
152 S 4th St, Montpelier, ID 83254-1538 | 2088472108 | BEAR LAKE COMMUNITY HEALTH CENTER |
517 W 100, Providence, UT 84332-9826 | 4357556061 | BEAR LAKE COMMUNITY HEALTH CENTER |
517 W 100, Suite 210, Providence, UT 84332-9826 | 4357556061 | BEAR LAKE COMMUNITY HEALTH CENTER |
Organization Legal Name | BEAR LAKE COMMUNITY HEALTH CENTER |
Physicians | 24 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sydnie Hobbs | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
Ryan M Carr | Physician Assistant | Bear Lake Community Health Center | 517 W 100, Suite 210, Providence, UT 84332-9826 |
Kristin K Buys | Physician Assistant | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
Glenn L. Robertson | Family Medicine | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
James D Sutton | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
Mina L Wayman | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
Phillip Edward Archibald | Clinical Social Worker | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
Sarah Renee Eldredge | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
Jenna B Pitman | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
Street Address |
325 W LOGAN HWY |
City | GARDEN CITY |
State | UT |
Zip | 84028 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sydnie Hobbs | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
Glenn L. Robertson | Family Medicine | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
Mina L Wayman | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
City | GARDEN CITY |
Zip Code | 84028 |
Specialty | NURSE PRACTITIONER |
City + Specialty | GARDEN CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Selanie A Sanone Leavitt.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.