| Castleview Physician Practices, Llc | |
|
90 West Main Street Castle Dale UT 84513 | |
| (435) 381-2305 | |
| (435) 381-5010 |
| Full Name | Castleview Physician Practices, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 90 West Main Street, Castle Dale, Utah |
| Authorized Official Name and Position | Jess N Judy (PRESIDENT) |
| Authorized Official Contact | 6153728508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castleview Physician Practices, Llc Po Box 607 Castle Dale UT 84513-0607 Ph: (435) 381-2305 | Castleview Physician Practices, Llc 90 West Main Street Castle Dale UT 84513 Ph: (435) 381-2305 |
| NPI Number | 1598082158 |
|---|---|
| Provider Enumeration Date | 04/22/2010 |
| Last Update Date | 04/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598082158 | NPI | - | NPPES |
| 000066149 | Other | UT | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Castleview Hospital, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 West Main Street, Castle Dale, UT 84513 Phone: 435-381-2305 Fax: 435-381-5010 |