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NPI Code Detail

MEDICARE: GARFIELD COUNTY

MEDICARE: GARFIELD COUNTY
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
1207P00000XEmergency Medicine Physician
2207Q00000XFamily Medicine Physician
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1356350219
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARFIELD COUNTY
Provider Business Mailing Address
First Line : PO BOX 30180
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84130-0180
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 N 400 E
Second Line :
City : PANGUITCH
State : UT
Zip : 84759
Country : US
Telephone Number : 435-676-8811
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : DEANN BROWN
Credential :
Telephone Number : 435-676-8811
Provider Enumeration Date : 08/07/2006
Last Update Date : 04/08/2025

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Directions to “GARFIELD COUNTY ” Practice Location

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