Bryce Valley Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Cannonville, Utah. The current practice location for Bryce Valley Clinic is 25 S Redrock Dr, Cannonville, Utah. For appointments, you can reach them via phone at
(435) 679-8545. The mailing address for Bryce Valley Clinic is Po Box 30180, Salt Lake City, Utah and phone number is () -.
Bryce Valley Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1013119155. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(435) 679-8545.
Primary Care Clinic Profile
| Full Name | Bryce Valley Clinic |
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| Speciality | Clinic/Center |
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| Location | 25 S Redrock Dr, Cannonville, Utah |
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| Authorized Official Name and Position | Deann Brown (ADMINISTRATOR) |
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| Authorized Official Contact | 4356768811 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bryce Valley Clinic
Po Box 30180
Salt Lake City
UT 84130-0180
Ph: () - | Bryce Valley Clinic
25 S Redrock Dr
Cannonville
UT 84718-8001
Ph: (435) 679-8545 |
NPI Details:
| NPI Number | 1013119155 |
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| Provider Enumeration Date | 06/01/2007 |
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| Last Update Date | 06/23/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6305744459 |
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| Medicare Enrollment ID | O20050701000632 |
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Medical Identifiers
Medical identifiers for Bryce Valley Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013119155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Bryce Valley Clinic acts as a billing entity for following providers:
| Provider Name | Melinda Lee Peterson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1952008419
PECOS PAC ID: 1052766607
Enrollment ID: I20231017001988 |
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