Organization · Type 2 NPI

Wayne Community Health Centers Inc

Federally Qualified Health Center (FQHC) · Escalante, UT

NPI number 1568886000 Active

Practice location

570 E Moqui Ln
Escalante, UT 84726-0276

Call (435) 826-4374 Map

Mailing address

PO Box 303
Bicknell, UT 84715-0303

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center	261QC1500X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Jennifer Marie Evans, PharmDPharmacist Escalante, UT NPI 1497096457

NPI record

NPI: 1568886000
Entity type: Organization (Type 2)
Issued: Feb 4, 2014
Last updated: Apr 21, 2021
Status: Active
Subpart: Yes of Wayne Community Health Centers Inc.

Other names

<unavail>
Kazan Ivan W Memorial Clinic · doing business as

Authorized official

Evan Christensen
Executive Director
(435) 425-3744

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1568886000

Wayne Community Health Centers Inc's National Provider Identifier is 1568886000, issued on Feb 4, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Escalante, UT. The record was last updated on Apr 21, 2021.