| Centerville Medical Center, Inc. | |
|
174 W Parrish Ln Centerville UT 84014-1821 | |
| (801) 298-7330 | |
| (801) 295-5434 |
| Full Name | Centerville Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 174 W Parrish Ln, Centerville, Utah |
| Authorized Official Name and Position | Robert E Park (CEO) |
| Authorized Official Contact | 8012987330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Medical Center, Inc. 174 W Parrish Ln Centerville UT 84014-1821 Ph: (801) 298-7330 | Centerville Medical Center, Inc. 174 W Parrish Ln Centerville UT 84014-1821 Ph: (801) 298-7330 |
| NPI Number | 1588803415 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588803415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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