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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.

physician-icon Basic Information

Practice Location 223 South 200 East, Enterprise, UT 84725-0370, US
Practice Location Phone435-878-2281
Practice Location Fax435-878-2434
Legal Business NameENTERPRISE VALLEY MEDICAL CLINIC, INC.
NPI ?1659457786
Entity TypeOrganization
Enumeration Date ? Oct 31, 2006
Last Update Date ? Jul 9, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Enterprise Valley Medical Clinic, Inc.

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC)

legacy-id-icon Legacy Provider IDs of Enterprise Valley Medical Clinic, Inc.

Provider IdIssuer StateIssuer TypeIssuer
05883UtahMedicaid

official-icon 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/PositionEXECUTIVE DIRECTOR
Authorized Official Phone Number435-878-2281