| Timothy Adam Callahan, PAC | |
|
331 E Highway 123, Sunnyside, UT 84539-7725 | |
| (435) 888-4411 | |
| (435) 888-2270 |
| Full Name | Timothy Adam Callahan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 331 E Highway 123, Sunnyside, 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 |
|---|---|---|---|
| 1427064799 | NPI | - | NPPES |
| P00228226 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 314106-8906 (Utah) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 314106-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Symbii Home Health South | Murray, UT | Home health agency |
| Rocky Mountain Home Health - Utah | Woods cross, UT | Home health agency |
| Community Nursing Services | West valley city, UT | Home health agency |
| Castleview Hospital | Price, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carbon Medical Service Association, Incorporated | 4183535115 | 16 |
| Entity Name | Carbon Medical Service Association, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497717821 PECOS PAC ID: 4183535115 Enrollment ID: O20050606001229 |
| Entity Name | Castleview Physician Practice LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013364884 PECOS PAC ID: 6305995598 Enrollment ID: O20090518000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Adam Callahan, PAC Po Box 930, East Carbon, UT 84520-0930 Ph: (435) 888-4411 | Timothy Adam Callahan, PAC 331 E Highway 123, Sunnyside, UT 84539-7725 Ph: (435) 888-4411 |