Selanie A Sanone Leavitt
BEAR LAKE COMMUNITY HEALTH CENTER


Address: 325 W Logan Hwy, Garden City, UT 84028
Phone: 4359463660

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
131316 BEAR LAKE MEMORIAL HOSPITAL

Other Locations

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 Information

Organization Legal Name BEAR LAKE COMMUNITY HEALTH CENTER
Physicians 24

Physicians with the same organization

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

Office Location

Street Address 325 W LOGAN HWY
City GARDEN CITY
State UT
Zip 84028

Physicians in the same location

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

Competitor

Search similar physicians

City GARDEN CITY
Zip Code 84028
Specialty NURSE PRACTITIONER
City + Specialty GARDEN CITY + NURSE PRACTITIONER

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Dataset Information

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.

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