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Organization

GREEN RIVER MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY B WINTERS (EXECUTIVE DIRECTOR)
(435) 564-3434
Entity
Organization

Contact information

Practice address
585 WEST MAIN ST., BOX 417, GREEN RIVER, UT 84525-0417
(435) 564-3434
(435) 564-3214
Mailing address
585 WEST MAIN ST., BOX 417, GREEN RIVER, UT 84525-0417
(435) 564-3434
(435) 564-3214

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
572622038001
UT
Enumeration date
08/25/2006
Last updated
04/20/2008
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