Organization
KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT
Active
Other names
Kane County Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM MITCHELL (ADMINISTRATOR)
(435) 644-5811
Entity
Organization
Contact information
Practice address
355 N MAIN ST, KANAB, UT 84741-3260
(435) 644-4100
(435) 644-4197
Mailing address
355 N MAIN ST, KANAB, UT 84741-3260
(435) 644-4100
(435) 644-4197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87600030002001
BCBS
—
Enumeration date
11/20/2006
Last updated
08/22/2020
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