Enterprise Valley Medical Clinic, Inc. in Enterprise - Federally Qualified Health Center (fqhc)
Enterprise Valley Medical Clinic, Inc. - NPI 1659457786
Enterprise Valley Medical Clinic, Inc. is a Federally Qualified Health Center (fqhc) in Enterprise, Utah. Enterprise Valley Medical Clinic, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Enterprise Valley Medical Clinic, Inc. is 1659457786. The last update date is 2020-08-22.
Enterprise Valley Medical Clinic, Inc.'s current location address is Po Box 370, Enterprise, Utah. You can contact this provider via phone number 4358782281 and fax number 4358782434. The mailing address for Enterprise Valley Medical Clinic, Inc. is Po Box 370, Enterprise, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Enterprise Valley Medical Clinic, Inc. |
|---|---|
| Address | Po Box 370, Enterprise, Utah |
| Phone Number | 4358782281 |
| Fax Number | 4358782434 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Hansen C.J. |
| Telephone Number | 4358782281 |
NPI Number Detail
| NPI Number | 1659457786 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 370 |
|---|---|
| City | Enterprise |
| State | Utah (UT) |
| Post Code | 847250370 |
| Phone Number | 4358782281 |
| Fax Number | 4358782434 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5883 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Enterprise Valley Medical Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The Enterprise Valley Medical Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1659457786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Enterprise Valley Medical Clinic, Inc. is physically located?
The Enterprise Valley Medical Clinic, Inc. is situated at the following address: Po Box 370, Enterprise, UT 847250370.
What is the Enterprise Valley Medical Clinic, Inc.'s specialty and taxonomy code?
The Enterprise Valley Medical Clinic, Inc.'s specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did Enterprise Valley Medical Clinic, Inc. receive its 1659457786 assignment from the Centers for Medicare & Medicaid Services?
The Enterprise Valley Medical Clinic, Inc. was assigned its 1659457786 on 2006-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Enterprise Valley Medical Clinic, Inc. most recently updated or revised?
The details related to Enterprise Valley Medical Clinic, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA