| Family First Medical Pc | |
|
24 N 100 E Spanish Fork UT 84660-1802 | |
| (801) 504-6421 | |
| (801) 504-6468 |
| Full Name | Family First Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 N 100 E, Spanish Fork, Utah |
| Authorized Official Name and Position | Karl Jay Barton (OWNER) |
| Authorized Official Contact | 8015046421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Medical Pc Po Box 1769 Spanish Fork UT 84660-7769 Ph: (801) 504-6421 | Family First Medical Pc 24 N 100 E Spanish Fork UT 84660-1802 Ph: (801) 504-6421 |
| NPI Number | 1285035014 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 11/25/2014 |
| Medicare PECOS PAC ID | 1153646922 |
|---|---|
| Medicare Enrollment ID | O20150219001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285035014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 198637-4405 (Utah) | Primary |
| Provider Name | Karl Jay Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306889522 PECOS PAC ID: 0244206373 Enrollment ID: I20040909000330 |
| Provider Name | April R Cundall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255846424 PECOS PAC ID: 0244598845 Enrollment ID: I20180102001587 |
| Provider Name | Jessica Carol Newberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013503366 PECOS PAC ID: 4789098880 Enrollment ID: I20210312000363 |
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