| Mountainstar Medical Group- Cache Valley, Llc | |
|
382 W 280 N Providence UT 84332-9753 | |
| (435) 752-0330 | |
| (435) 755-0922 |
| Full Name | Mountainstar Medical Group- Cache Valley, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 382 W 280 N, Providence, Utah |
| Authorized Official Name and Position | Louis Joseph (VP) |
| Authorized Official Contact | 6153737630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainstar Medical Group- Cache Valley, Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Mountainstar Medical Group- Cache Valley, Llc 382 W 280 N Providence UT 84332-9753 Ph: (435) 752-0330 |
| NPI Number | 1144475674 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 01/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144475674 | NPI | - | NPPES |
| 1144475674 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Moserti Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 N Gateway Dr Ste 130, Providence, UT 84332 Phone: 435-227-5371 Fax: 385-900-1612 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-213-4225 | |
Bear Lake Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6075 Fax: 435-994-8362 | |
Peachtree Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 565 W 465 N Ste 130, Providence, UT 84332 Phone: 435-752-5553 Fax: 435-755-5043 | |
Daniel J Huff Podiatry Dpm Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1883 |