| Kane County Medical Clinic | |
|
355 N Main St Kanab UT 84741-3260 | |
| (435) 644-4100 | |
| (435) 644-4197 |
| Full Name | Kane County Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 355 N Main St, Kanab, Utah |
| Authorized Official Name and Position | Tom Mitchell (ADMINISTRATOR) |
| Authorized Official Contact | 4356445811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kane County Medical Clinic 355 N Main St Kanab UT 84741-3260 Ph: (435) 644-4100 | Kane County Medical Clinic 355 N Main St Kanab UT 84741-3260 Ph: (435) 644-4100 |
| NPI Number | 1215001037 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5092603316 |
|---|---|
| Medicare Enrollment ID | O20090727000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215001037 | NPI | - | NPPES |
| 87600030002001 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarah M. Boone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316270788 PECOS PAC ID: 6406277359 Enrollment ID: I20200601000939 |
| Provider Name | Daniel R Wright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437535267 PECOS PAC ID: 8022380542 Enrollment ID: I20230613001548 |
| Provider Name | Robert C Ripley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134126766 PECOS PAC ID: 8820099906 Enrollment ID: I20231012003575 |
| Provider Name | Sophia Elaine Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205613056 PECOS PAC ID: 4486000742 Enrollment ID: I20231024001349 |
| Provider Name | Brittney A Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447030861 PECOS PAC ID: 2860845385 Enrollment ID: I20240131001719 |
High Desert Chiropractic And Wellness, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 100 E, Suite #8, Kanab, UT 84741 Phone: 435-644-2225 Fax: 435-553-0941 | |
High Desert Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 100 E, Kanab, UT 84741 Phone: 435-644-2225 Fax: 435-644-2226 | |
Kane County Hospital Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-5811 Fax: 435-644-3588 |