| Castleview Hospital, Llc | |
|
300 N Hospital Dr Price UT 84501-4218 | |
| (435) 636-4836 | |
| (435) 637-8819 |
| Full Name | Castleview Hospital, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 N Hospital Dr, Price, Utah |
| Authorized Official Name and Position | Kathy J. Teague (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castleview Hospital, Llc 300 N Hospital Dr Price UT 84501-4218 Ph: (435) 636-4836 | Castleview Hospital, Llc 300 N Hospital Dr Price UT 84501-4218 Ph: (435) 636-4836 |
| NPI Number | 1639253321 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 07/26/2019 |
| Medicare PECOS PAC ID | 9032021043 |
|---|---|
| Medicare Enrollment ID | O20040105000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639253321 | NPI | - | NPPES |
| 110179278 | Other | UT | EKG GROUP |
| 47980 | Other | UT | PEHP EKG |
| 497607255045 | Medicaid | UT | |
| 43137085101001 | Other | UT | BCBS EKG |
| 57268 | Other | UT | PEHP EKG |
| 080168890 | Other | UT | EKG GROUP |
| 62579 | Other | UT | PEHP EKG |
| 110179277 | Other | UT | EKG GROUP |
| 15042835401001 | Other | UT | BCBS EKG |
| 52951335609001 | Other | UT | BCBS EKG |
| CI5032 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Utah) | Secondary |
| 207Q00000X | Family Medicine | (Utah) | Primary |
| Provider Name | Glenn T Etzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083727408 PECOS PAC ID: 9032154547 Enrollment ID: I20050624000814 |
| Provider Name | Dalen Lee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922318450 PECOS PAC ID: 4789871401 Enrollment ID: I20101207001273 |
| Provider Name | David Mathis Thayn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386802916 PECOS PAC ID: 2961652789 Enrollment ID: I20121101000027 |
| Provider Name | Paul A Thayn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639311186 PECOS PAC ID: 6103069455 Enrollment ID: I20130905000479 |
| Provider Name | Eugene Douglas Larsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447513221 PECOS PAC ID: 8527290923 Enrollment ID: I20150903001782 |
| Provider Name | Tiffany Lyn Jeffs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487335402 PECOS PAC ID: 6507229739 Enrollment ID: I20230905003885 |
Positive Pathways Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23 S Carbon Ave, Suite 21, Price, UT 84501 Phone: 435-299-5003 | |
Castleview Physician Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 East 100 North, Price, UT 84501 Phone: 435-637-5061 Fax: 435-637-1899 | |
Castleview Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 W Hospital Dr, Suite 8, Price, UT 84501 Phone: 435-637-6348 Fax: 435-637-6422 | |
Nicholas G Hanson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 N Hospital Dr, Ste 4, Price, UT 84501 Phone: 435-637-2300 Fax: 435-637-1581 | |
Pine Top Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 284 N Hospital Dr, Suite 2, Price, UT 84501 Phone: 435-637-5690 Fax: 435-637-9809 | |
Carbon Medical Service Association Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 S Carbon Ave, Price, UT 84501 Phone: 435-888-4411 Fax: 435-888-2270 |