CARBON MEDICAL SERVICE ASSOCATION, INCORPORATED (NPI# 1144834771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144834771 |
| Entity Type | Organization |
| Organization Name | CARBON MEDICAL SERVICE ASSOCATION, INCORPORATED |
| Practice Address |
305 Center St East Carbon UT 84520-7726 |
| Mailing Address |
Po Box 460 Sunnyside UT 84539-0460 |
| Practice Telephone | 4356304332 |
| Mailing Telephone | 4356304332 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | MRS. CAROLYN SUE ABEYTA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4358884411 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARBON MEDICAL SERVICE ASSOCATION, INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Helper Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679749196 | Carbon Medical Service Assocation, Incorporated | Clinic/Center | 125 S Main St, Helper, UT 84526-1535 | 2008-05-05 |
| Street Address |
305 CENTER ST |
| City | EAST CARBON |
| State | UT |
| Zip Code | 84520-7726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528514809 | Shadrick Wyatt Tillotson | Nurse Practitioner | 305 Center St, East Carbon, UT 84520 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972007060 | Haven Ann Lewis Halk | Nurse Practitioner | 305 Center St., East Carbon, UT 84520 | 2018-03-22 |
| 1992251268 | Sandra Dollene Rust | Nurse Practitioner | 305 Center St., East Carbon, UT 84520 | 2016-08-28 |
| 1699146233 | Dylan Taylor | Physician Assistant | 305 Center Street, East Carbon, UT 84520 | 2015-10-08 |
| 1275918880 | Russell Raymond Scow | Pharmacist | 305 Center Street, East Carbon, UT 84520 | 2015-07-24 |
| 1306956495 | Joseph Reid Cummings | Pharmacist | 305 Center Street, East Carbon, UT 84520 | 2006-08-30 |
| 1245230192 | East Carbon City | Ambulance | 101 West Geneva Drive, East Carbon, UT 84520-0070 | 2005-07-21 |
| 1922318450 | Dalen Lee Johnson | Nurse Practitioner | 305 Center Street, East Carbon, UT 84520-0517 | 2010-10-18 |
| 1366676587 | Andrea D. Barney | Nurse Practitioner | 305 Center St., East Carbon, UT 84520-0930 | 2009-05-04 |
| 1528020815 | Alma Joyce Caviness | Pharmacist | 305 Center Street, East Carbon, UT 84520-0930 | 2006-04-04 |
| 1114320207 | Steven Young | Physician Assistant | 305 Center Street, East Carbon, UT 84520-0930 | 2014-10-02 |
| Find all providers in zip 84520 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871014092 | Wayne Community Health Centers, Inc | Clinic/Center | 65 North Center Street, Escalante, UT 84776-0276 | 2017-06-28 |
| 1417305087 | Bear Lake Community Health Centers | Clinic/Center | 944 S State Highway 89, Logan, UT 84321-5436 | 2016-05-24 |
| 1780090944 | Southwest Utah Community Health Center, Inc. | Clinic/Center | 391 North 200 West, Hurricane, UT 84737-1616 | 2014-07-09 |
| 1548588247 | Southwest Utah Community Health Center, Inc | Clinic/Center | 74 W. Harding Ave, Cedar City, UT 84720 | 2010-05-06 |
| 1528128899 | Wasatch Homeless Health Care, Inc. | Clinic/Center | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2006-12-09 |
| 1689754475 | Bear Lake Community Health Center | Clinic/Center | 325 W. Logan Hwy, Garden City, UT 84028-0328 | 2006-10-16 |
| 1942317722 | Green River Medical Center Inc | Clinic/Center | 585 West Main St., Box 417, Green River, UT 84525-0417 | 2006-08-25 |
| 1659358687 | Southwest Utah Community Health Center | Clinic/Center | 25 N 100 E, Suite 102, St George, UT 84770 | 2005-12-30 |
| 1366447112 | Community Health Centers Inc. | Clinic/Center | 1365 W 1000 N, Slc, UT 84116-1654 | 2005-06-17 |
| 1477558237 | Community Health Centers Inc. | Clinic/Center | 8446 Harrison St, Midvale, UT 84047-3568 | 2005-06-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST CARBON |
| Zip Code | 84520 |
Please comment or provide details below to improve the information on CARBON MEDICAL SERVICE ASSOCATION, INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.