Carbon Medical Service Association Incorporated

NPI #1700671641 in Price, Utah

Provider Information

NPI Number: 1700671641
Entity Type: Organization
Organization Name: Carbon Medical Service Association Incorporated
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Apr 11, 2025
Last Updated: Apr 11, 2025

Practice Location

Address: 19 S CARBON AVE
City: Price
State: Utah
ZIP Code: 84501-2801
Phone: (435) 888-4411

Authorized Official

Name: LISA KAY CLARK
Title: CEO
Phone: (435) 888-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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