Enterprise Valley Medical Clinic, Inc.

LBN: Enterprise Valley Medical Clinic, Inc.
Enterprise Valley Medical Clinic, Inc. is an health care organization with primary practice located at 223 South 200 East , Enterprise UT 84725-0370. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Enterprise Valley Medical Clinic, Inc. can be contacted via phone (435) 878-2281, or through Hansen, C.J. via phone (435) 878-2281.

Contact Information

Primary practice address
223 South 200 East Enterprise UT 84725-0370
Phone: (435) 878-2281
Fax: (435) 878-2434
Website:
Map and Directions
Authorized official contact:
Name: Hansen, C.J.
Phone: (435) 878-2281

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1659457786
LBN Legal business name Enterprise Valley Medical Clinic, Inc.
DBA Doing business as
Authorized official Hansen, C.J.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659457786 NPPES
Utah MEDICAID 05883

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