| Carbon Medical Service Association, Incorported | |
|
331 Highway 123 Sunnyside UT 84539 | |
| (435) 888-4411 | |
| (435) 888-2270 |
| Full Name | Carbon Medical Service Association, Incorported |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 331 Highway 123, Sunnyside, Utah |
| Authorized Official Name and Position | Lisa Kay Clark (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4358884411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Medical Service Association, Incorported Po Box 930 East Carbon UT 84520-0930 Ph: (435) 888-4411 | Carbon Medical Service Association, Incorported 331 Highway 123 Sunnyside UT 84539 Ph: (435) 888-4411 |
| NPI Number | 1124579230 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124579230 | NPI | - | NPPES |
| ========= | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Carbon Medical Service Association, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 331 Highway 123, Sunnyside, UT 84539 Phone: 435-888-4411 Fax: 435-888-2270 |