Organization
CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KAY CLARK (CEO)
(435) 888-4411
Entity
Organization
Contact information
Practice address
92 N 400 E STE 1, PRICE, UT 84501-2509
(435) 888-4411
(435) 888-2270
Mailing address
PO BOX 460, SUNNYSIDE, UT 84539-0460
(435) 888-4411
(435) 888-2270
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
03/17/2025
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