MEDICARE: MRS. BETSY J CHURCH IBCLC

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	174N00000X	Lactation Consultant (Non-RN)	L-110768	UT

General Provider Information

NPI Number	:	1801457841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETSY J CHURCH IBCLC

Provider Business Mailing Address
First Line	:	1003 N 1000 W
Second Line	:
City	:	CLINTON
State	:	UT
Zip	:	84015-8819
Country	:	US
Telephone Number	:	931-220-0136
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 N 1000 W
Second Line	:
City	:	CLINTON
State	:	UT
Zip	:	84015-8819
Country	:	US
Telephone Number	:	931-220-0136
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	06/20/2019

Similar Medicare Providers

1619004108 — AFFORDABLE DENTAL CARE CENTER
Practice Location Address:

8819 WOODYARD RD
CLINTON, MD
20735

Practice Phone: 301-877-2600
Practice Fax: 301-877-2603

1770439150 — ANDREA JOLYNNE JEPSON
Practice Location Address:

1808 W 1800 N STE A
CLINTON, UT
84015-8503

Practice Phone: 801-217-3133
Practice Fax: 801-528-5067

1871590430 — DR. DAVID D MORTENSEN OD
Practice Location Address:

2028 W 2220 N
CLINTON, UT
84015-5744

Practice Phone: 801-779-0708
Practice Fax: 385-393-7875

1457339285 — DR. CLARK EDWARD FIELDEN O.D.
Practice Location Address:

2028 W 2220 N
CLINTON, UT
84015-5744

Practice Phone: 801-779-0708
Practice Fax:

1083684815 — MICHAEL ROY BRONSON D.D.S.
Practice Location Address:

1448 N 2000 W , SUITE #6
CLINTON, UT
84015-8377

Practice Phone: 801-728-3924
Practice Fax: 801-728-9109

1053388314 — RYAN ALLEN ATKINSON DC
Practice Location Address:

2179 W 1800 N
CLINTON, UT
84015-7900

Practice Phone: 801-614-0166
Practice Fax: 801-614-0167

Directions to “ MRS. BETSY J CHURCH IBCLC” 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 © 2007-2026 (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.