| Mid-valley Health Clinic | |
|
8446 S Harrison St Midvale UT 84047-3501 | |
| (801) 417-0131 | |
| (801) 250-3204 |
| Full Name | Mid-valley Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 8446 S Harrison St, Midvale, Utah |
| Authorized Official Name and Position | Kurt Micka (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8014170131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-valley Health Clinic 8446 S Harrison St Midvale UT 84047-3501 Ph: (801) 417-0131 | Mid-valley Health Clinic 8446 S Harrison St Midvale UT 84047-3501 Ph: (801) 417-0131 |
| NPI Number | 1508299892 |
|---|---|
| Provider Enumeration Date | 08/09/2013 |
| Last Update Date | 10/02/2013 |
| Medicare PECOS PAC ID | 8224262480 |
|---|---|
| Medicare Enrollment ID | O20131002000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508299892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Utah) | Primary |
| Provider Name | Sarah L Woolsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427035187 PECOS PAC ID: 9133144587 Enrollment ID: I20051013001103 |
| Provider Name | Peter a De Schweinitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427085711 PECOS PAC ID: 1951375088 Enrollment ID: I20061214000520 |
| Provider Name | Amy L Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861437113 PECOS PAC ID: 3173586344 Enrollment ID: I20080102000582 |
| Provider Name | Tony S Gregory |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477802825 PECOS PAC ID: 3678721248 Enrollment ID: I20120924000815 |
| Provider Name | Nadia Xibille |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982944369 PECOS PAC ID: 9032354212 Enrollment ID: I20130315000315 |
| Provider Name | Katherine Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316491327 PECOS PAC ID: 6709174816 Enrollment ID: I20161005001235 |
| Provider Name | Philip Swink |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518402098 PECOS PAC ID: 6800172495 Enrollment ID: I20170413002543 |
| Provider Name | Abigail Marquez-gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396180386 PECOS PAC ID: 0941568554 Enrollment ID: I20180102002426 |
| Provider Name | Veronica Kitchens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760034029 PECOS PAC ID: 4880092345 Enrollment ID: I20211013002926 |
| Provider Name | Nathan Zacharias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902255847 PECOS PAC ID: 6002100252 Enrollment ID: I20220421002454 |
| Provider Name | Justin Zamora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255786976 PECOS PAC ID: 5991188476 Enrollment ID: I20220816002011 |
| Provider Name | Luis Carlos Munoz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487019279 PECOS PAC ID: 0446545578 Enrollment ID: I20230608003079 |
| Provider Name | Nancy M Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144994344 PECOS PAC ID: 6204275779 Enrollment ID: I20240416004207 |
| Provider Name | Tania Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366131799 PECOS PAC ID: 6800333659 Enrollment ID: I20240730001714 |
| Provider Name | Ryan T Sears |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437698750 PECOS PAC ID: 9537564133 Enrollment ID: I20250416002173 |
| Provider Name | Brenda Espitia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396327326 PECOS PAC ID: 4981057650 Enrollment ID: I20250902001298 |
| Provider Name | Lucretia Stallings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366940066 PECOS PAC ID: 4789188640 Enrollment ID: I20250916000728 |
| Provider Name | Shyh Jye Wang |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1821135492 PECOS PAC ID: 5294057469 Enrollment ID: I20260115002022 |
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