Enterprise Valley Medical Clinic, Inc.
NPI #1659457786 in Enterprise, Utah
Provider Information
- NPI Number
- 1659457786
- Entity Type
- Organization
- Organization Name
- Enterprise Valley Medical Clinic, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 223 SOUTH 200 EAST
- City
- Enterprise
- State
- Utah
- ZIP Code
- 84725-0370
- Phone
- (435) 878-2281
Authorized Official
- Name
- MR. C.J. HANSEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (435) 878-2281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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