Organization
WAYNE COMMUNITY HEALTH CENTERS, INC
Active
Organization
WAYNE COMMUNITY HEALTH CENTERS, INC
Active
Other names
Salina Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA LARSEN (CREDENTIALING SPECIALIST)
(435) 425-1143
Entity
Organization
Contact information
Practice address
131 E MAIN ST # 3, SALINA, UT 84654-1335
(435) 529-2215
Mailing address
PO BOX 303, BICKNELL, UT 84715-0303
(435) 425-3744
(435) 425-3744
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
10/16/2020
Last updated
02/22/2021
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