| Justin James Archibald, PA-C | |
|
1000 N Main St Ste A, Richfield, UT 84701-2069 | |
| (435) 893-0580 | |
| Not Available |
| Full Name | Justin James Archibald |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1000 N Main St Ste A, Richfield, 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 |
|---|---|---|---|
| 1841740958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 332735-1206 (Utah) | Primary |
| 363A00000X | Physician Assistant | 332735-1206 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Sevier Valley Hospital | Richfield, UT | Hospital |
| Gunnison Valley Hospital | Gunnison, UT | Hospital |
| Intermountain Health Fillmore Community Hospital | Fillmore, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3948 |
| Wayne Community Health Centers, Inc. | 1254242233 | 13 |
| Southwest Spine And Pain Care Specialists Llc | 6406020049 | 42 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Wayne Community Health Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093816282 PECOS PAC ID: 1254242233 Enrollment ID: O20040113000649 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Entity Name | Southwest Spine and Pain Care Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144509985 PECOS PAC ID: 6406020049 Enrollment ID: O20111117000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin James Archibald, PA-C Po Box 27128, Salt Lake City, UT 84127-0128 Ph: Not Available | Justin James Archibald, PA-C 1000 N Main St Ste A, Richfield, UT 84701-2069 Ph: (435) 893-0580 |
Robert W Nentwich, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 850 N Main St, Suite 3, Richfield, UT 84701 Phone: 435-896-9561 Fax: 435-896-9564 |
Craig Allen Rodriguez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 861 N Main St, Richfield, UT 84701 Phone: 435-558-7031 Fax: 702-576-9609 |
Jared Glen Jackman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Main St, Richfield, UT 84701 Phone: 435-893-1850 |
Ms. Lakecia Wilkinson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 236 S 100 E, Richfield, UT 84701 Phone: 435-896-8236 Fax: 435-637-9141 |
Colby Bliss, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 826 N Paiute Way, Richfield, UT 84701 Phone: 435-893-0977 |
Mr. Adam J Partridge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Main St Ste A, Richfield, UT 84701 Phone: 435-893-0580 |
Lorraine P Friant, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 90 E Center St, Richfield, UT 84701 Phone: 435-567-7653 Fax: 385-543-3033 |