Enterprise Valley Medical Clinic, Inc.
Enterprise Valley Medical Clinic, Inc. is a health care provider in Enterprise, UT. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 223 South 200 East, Enterprise, UT 84725-0370, US |
|Practice Location Phone||435-878-2281|
|Practice Location Fax||435-878-2434|
|Legal Business Name||ENTERPRISE VALLEY MEDICAL CLINIC, INC.|
|Enumeration Date ? ||Oct 31, 2006|
|Last Update Date ? ||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Enterprise Valley Medical Clinic, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC) |
Legacy Provider IDs of Enterprise Valley Medical Clinic, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Enterprise Valley Medical Clinic, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Enterprise Valley Medical Clinic, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. C.j. Hansen|
|Authorized Official Title/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||435-878-2281|