| Colin Thomas Marshall, DO | |
|
25 S Redrock Dr, Cannonville, UT 84718-8001 | |
| (435) 679-8545 | |
| Not Available |
| Full Name | Colin Thomas Marshall |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 25 S Redrock Dr, Cannonville, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164751319 | NPI | - | NPPES |
| 1164751319 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 361780-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Home Health - St. George | St george, UT | Home health agency |
| Intermountain Health Hospice - St. George | St george, UT | Hospice |
| Intermountain Health Garfield Memorial Hospital | Panguitch, UT | Hospital |
| Intermountain Health Cedar City Hospital | Cedar city, UT | Hospital |
| Intermountain Health St George Regional Hospital | St george, UT | Hospital |
| Intermountain Health Garfield Memorial Hospital | Panguitch, UT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Garfield County | 6305744459 | 11 |
| Entity Name | Garfield County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356350219 PECOS PAC ID: 6305744459 Enrollment ID: O20031227000007 |
| Entity Name | Garfield County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1508836867 PECOS PAC ID: 6305744459 Enrollment ID: O20161111001071 |
| Mailing Address | Practice Location Address |
|---|---|
| Colin Thomas Marshall, DO Po Box 389, Panguitch, UT 84759-0389 Ph: (435) 679-8545 | Colin Thomas Marshall, DO 25 S Redrock Dr, Cannonville, UT 84718-8001 Ph: (435) 679-8545 |