MEDICARE: HUNTER MEDICAL CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	184916-1205	UT

General Provider Information

NPI Number	:	1194860569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUNTER MEDICAL CENTER, INC

Provider Business Mailing Address
First Line	:	3534 S 6000 W
Second Line	:
City	:	WEST VALLEY
State	:	UT
Zip	:	84128-2610
Country	:	US
Telephone Number	:	801-969-6264
Fax Number	:	801-969-6333

Provider Business Practice Location Address
First Line	:	3534 S 6000 W
Second Line	:
City	:	WEST VALLEY
State	:	UT
Zip	:	84128-2610
Country	:	US
Telephone Number	:	801-969-6264
Fax Number	:	801-969-6333

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRED M CIVISH III
Credential	:	MD
Telephone Number	:	801-969-6264

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1124137278 — DR. FREDERIC M CIVISH III
Practice Location Address:

3534 S 6000 W
WEST VALLEY, UT
84128-2610

Practice Phone: 801-969-6264
Practice Fax: 801-969-6333

1437357241 — MS. JANINE MARIE MCDONALD ARNP
Practice Location Address:

3534 S 6000 W
WEST VALLEY, UT
84128-2610

Practice Phone: 801-969-6264
Practice Fax: 801-969-6333

1225197379 — MICHELLE M DAHLE FNP
Practice Location Address:

3534 S 6000 W
SALT LAKE CITY, UT
84128-2610

Practice Phone: 801-969-6264
Practice Fax: 801-969-6333

1295749596 — PAMELA M. BINNS-GIBSON MD
Practice Location Address:

2610 WEST ARROWOOD DRIVE
CHARLOTTE, NC
28273

Practice Phone: 704-316-1700
Practice Fax: 704-316-1701

Directions to “HUNTER MEDICAL CENTER, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.