| Ashley Valley Family Practice | |
|
872 W Highway 40 Vernal UT 84078-2416 | |
| (435) 781-8899 | |
| (435) 781-8898 |
| Full Name | Ashley Valley Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 872 W Highway 40, Vernal, Utah |
| Authorized Official Name and Position | Shaun C Shurtliff (PRESIDENT) |
| Authorized Official Contact | 4357818899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Valley Family Practice 872 W Highway 40 Vernal UT 84078-2416 Ph: (435) 781-8899 | Ashley Valley Family Practice 872 W Highway 40 Vernal UT 84078-2416 Ph: (435) 781-8899 |
| NPI Number | 1881779809 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 10/28/2020 |
| Medicare PECOS PAC ID | 6406881747 |
|---|---|
| Medicare Enrollment ID | O20051005000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881779809 | NPI | - | NPPES |
| 07/16/1967 | Other | OWNER'S BIRTHDATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shaun C Shurtliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285719294 PECOS PAC ID: 0941108096 Enrollment ID: I20031227000010 |
| Provider Name | Christina Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699225730 PECOS PAC ID: 3476832262 Enrollment ID: I20161118000870 |
| Provider Name | Ashley Lynn Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497402887 PECOS PAC ID: 6204081896 Enrollment ID: I20221027002329 |
Altitude Counseling & Consulting Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 W 500 N Ste B, Vernal, UT 84078 Phone: 435-219-6312 | |
Vernal Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W Highway 40, Vernal, UT 84078 Phone: 435-777-8999 | |
Root Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 266 W 100 N Ste 2, Vernal, UT 84078 Phone: 453-789-4483 Fax: 435-789-4488 | |
Basin Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 379 North 500 West, Suite 1a, Vernal, UT 84078 Phone: 435-789-1165 Fax: 435-789-1169 | |
John L Griffith Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W 100 N Ste S104, Vernal, UT 84078 Phone: 435-781-1099 Fax: 435-781-1090 | |
Lynn Nelson Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 East 100 South, Vernal, UT 84078 Phone: 435-789-4483 Fax: 435-789-4488 | |
Alma Parker Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 N 100 W, Ste 205c, Vernal, UT 84078 Phone: 435-781-6300 Fax: 435-781-6301 |