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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