| Cache Valley Chiropractic Clinic Llc | |
|
169 N Gateway Dr Ste 223, Providence, UT 84332-9856 | |
| (435) 752-2772 | |
| (435) 752-2878 |
| Full Name | Cache Valley Chiropractic Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 169 N Gateway Dr Ste 223, Providence, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902943863 | NPI | - | NPPES |
| 22321 | Other | UT | PEHP |
| 10294 | Other | UT | ALTIUS |
| 519720002009 | Medicaid | UT | |
| 94287113577001 | Other | UT | BLUE CROSS BLUE SHIELD |
| 870395551ER1 | Other | UT | EMIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | 169476-1202 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cache Valley Chiropractic Clinic Llc 169 N Gateway Dr Ste 223, Providence, UT 84332-9856 Ph: (435) 752-7722 | Cache Valley Chiropractic Clinic Llc 169 N Gateway Dr Ste 223, Providence, UT 84332-9856 Ph: (435) 752-2772 |
Dr. Steven Scott Garvert, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 267 Springcreek Pkwy, Providence, UT 84332 Phone: 435-792-9400 | |
Dr. Brian Thomas Lyman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 585 W 100 N, Ste E, Providence, UT 84332 Phone: 435-750-6909 Fax: 435-750-6909 | |
Springcreek Medical Center Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 267 N Spring Creek Pkwy, Providence, UT 84332 Phone: 435-972-9400 Fax: 435-792-4800 | |
Dr. Thomas Owen Fullmer, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1652 S Highway 165, Providence, UT 84332 Phone: 435-752-5522 Fax: 435-752-3075 | |
Fullmer Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1652 S Highway 165, Providence, UT 84332 Phone: 435-752-5522 Fax: 435-752-3075 | |
Sierra Trinity Ladnier, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 366 W Spring Creek Pkwy, Providence, UT 84332 Phone: 573-275-5736 | |
Active Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 550 W 465 N Unit 502, Providence, UT 84332 Phone: 435-232-0732 Fax: 435-514-1814 |