Carbon Medical Service Association, Incorported

NPI #1124579230 in Sunnyside, Utah

Provider Information

NPI Number
1124579230
Entity Type
Organization
Organization Name
Carbon Medical Service Association, Incorported
Subpart
Yes (part of a larger organization)
Parent Organization
CARBON MEDICAL SERVICE ASSOCIATION, INCORPORATED
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 24, 2016
Last Updated
Apr 7, 2025

Practice Location

Address
331 HIGHWAY 123
State
Utah
ZIP Code
84539
Phone
(435) 888-4411

Authorized Official

Name
MRS. LISA KAY CLARK
Title
EXECUTIVE DIRECTOR
Phone
(435) 888-4411

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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