Wayne Community Health Center, INC

NPI #1851812085 in Panguitch, Utah

Provider Information

NPI Number: 1851812085
Entity Type: Organization
Organization Name: Wayne Community Health Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: WAYNE COMMUNITY HEALTH CENTERS
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 28, 2017
Last Updated: Apr 21, 2021

Practice Location

Address: 75 NORTH 200 EAST
City: Panguitch
State: Utah
ZIP Code: 84759
Phone: (435) 676-2443

Authorized Official

Name: MR. EVAN CHRISTENSEN
Title: CEO
Phone: (435) 425-1102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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