Green River Medical Center INC

NPI #1942317722 in Green River, Utah

Provider Information

NPI Number
1942317722
Entity Type
Organization
Organization Name
Green River Medical Center INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 25, 2006
Last Updated
Apr 20, 2008

Practice Location

Address
585 WEST MAIN ST.
Address 2
BOX 417
State
Utah
ZIP Code
84525-0417
Phone
(435) 564-3434

Authorized Official

Name
MARY B WINTERS
Title
EXECUTIVE DIRECTOR
Phone
(435) 564-3434

Specialties & Taxonomy Codes

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

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