Organization
HC HEALTHCARE, LLC
Active
Other names
Hyrum Medical Clinic, Hc Healthcare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAMIE PRIOR (OFFICE MANAGER)
(435) 245-6248
Entity
Organization
Contact information
Practice address
26 W MAIN ST # 3A, HYRUM, UT 84319-1206
(435) 245-6248
(435) 213-9882
Mailing address
26 W MAIN ST STE 3A, HYRUM, UT 84319-1206
(435) 245-6248
(435) 213-9882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033156849
BRANT FONNESBECK DO
UT
01
—
1184271215
GROUP NPI
UT
01
—
1699322693
CASSIE MILLIGAN NP
UT
Enumeration date
08/22/2019
Last updated
08/10/2021
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