CACHE VALLEY MEDICAL AND WELLNESS (NPI# 1790087559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790087559 |
| Entity Type | Organization |
| Organization Name | CACHE VALLEY MEDICAL AND WELLNESS |
| Practice Address |
196 S 100 W Logan UT 84321-5233 |
| Mailing Address |
Po Box 3443 Logan UT 84323-3443 |
| Practice Telephone | 4357550434 |
| Practice Fax Number | 4357550439 |
| Mailing Telephone | 4357550434 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | DR. BENITA JO QUAKENBUSH-ROBERTS (CEO) |
| Authorized Official Telephone | 4357550434 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
196 S 100 W |
| City | LOGAN |
| State | UT |
| Zip Code | 84321-5233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
| 1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
| 1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
| 1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
| 1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
| 1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
| 1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
| 1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
| 1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
| 1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
| Find all providers in zip 84321 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275771883 | Body Balance Chiropractic LLC | Clinic/Center | 944 S Highway 89 # 91, Logan, UT 84321-5436 | 2009-02-04 |
| 1205963105 | Ihc Health Services Inc | Clinic/Center | 1300 N 500 E #130, Logan Regional Orthopedics, Logan, UT 84341-2466 | 2007-02-27 |
| 1154826618 | Ihc Health Services Inc | Clinic/Center | 1350 N 500 E, Logan, UT 84341-2400 | 2018-03-27 |
| 1104346204 | Absolute Care Clinic | Clinic/Center | 112 Bridge St, Logan, WV 25601-3602 | 2017-06-21 |
| 1033572193 | Ihc Health Services Inc | Clinic/Center | 1281 N 600 E, Logan, UT 84341-6988 | 2016-04-05 |
| 1639536089 | Southeastern Surgery | Clinic/Center | 144 East Main Street, Logan, OH 43138 | 2016-01-15 |
| 1104209188 | Family Eye Care Center Pllc | Clinic/Center | 981 S Main St, Suite 200, Logan, UT 84321-6053 | 2015-07-08 |
| 1417354945 | Ihc Health Services Inc | Clinic/Center | 1350 N 500 E, Logan, UT 84341-2400 | 2014-11-26 |
| 1962801407 | Dana Chiropractic | Clinic/Center | 1219 N 400 E, Logan, UT 84341-2321 | 2014-08-21 |
| 1477680270 | Ihc Health Services Inc | Clinic/Center | 1350 N 500 E, Isom Plastic Surgery, Logan, UT 84341-2400 | 2007-02-27 |
| Find all providers in LOGAN | ||||
Please comment or provide details below to improve the information on CACHE VALLEY MEDICAL AND WELLNESS.
| 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.