WAYNE COMMUNITY HEALTH CENTER, INC (NPI# 1851812085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851812085 |
| Entity Type | Organization |
| Organization Name | WAYNE COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | PANQUITCH DENTAL |
| Practice Address |
75 North 200 East Panguitch UT 84759 |
| Mailing Address |
Po Box 303 Bicknell UT 84715-0303 |
| Practice Telephone | 4356762443 |
| Practice Fax Number | 4356762443 |
| Mailing Telephone | 4354253744 |
| Mailing Fax Number | 4354251138 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | MR. EVAN CHRISTENSEN (CEO) |
| Authorized Official Telephone | 4354251102 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAYNE COMMUNITY HEALTH CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
UT | Ambulatory Health Care Facilities | |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
UT | Ambulatory Health Care Facilities | |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Panquitch Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979193 | Wayne Community Health Center, Inc | Clinic/Center | 131 E Main St # 3, Salina, UT 84654-1335 | 2020-10-16 |
| Street Address |
75 NORTH 200 EAST |
| City | PANGUITCH |
| State | UT |
| Zip Code | 84759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235358714 | Shawn David Parkin | Dentist | 75 North 200 East, Panguitch, UT 84759 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467999524 | Garfield County | Nursing Facility/Intermediate Care Facility | 200 N 450 E, Panguitch, UT 84759 | 2017-01-27 |
| 1598200297 | Garfield County | Clinic/Center | 200 N 400 E St, Panguitch, UT 84759 | 2017-01-04 |
| 1942637749 | Yardley Insurance Agency Inc | Supports Brokerage | 609 North Main Street, #1, Panguitch, UT 84759 | 2013-10-11 |
| 1750639654 | Bryant Pearson | Social Worker | 400 East 200 North, Panguitch, UT 84759 | 2012-08-27 |
| 1265731574 | Devin Jacob Albrecht | Physical Therapist | 115 N Main Suite B, Panguitch, UT 84759 | 2011-03-25 |
| 1679874580 | Theron A Draper | Social Worker | 3600 N 455 W, Panguitch, UT 84759 | 2010-11-09 |
| 1013165802 | Garry Richard Holbrook Sr. | Counselor | 609 North Main, #3, Panguitch, UT 84759 | 2008-09-04 |
| 1194992982 | Sherrie Burningham | Case Manager/Care Coordinator | 609 N. Main Street, Ste #6, Panguitch, UT 84759 | 2008-05-12 |
| 1548459068 | Shane R Jensen | Optometrist | 415 East Center Street, Panguitch, UT 84759 | 2007-10-22 |
| 1558558627 | Robert L Smith Dc PC | Clinic/Center | 55 E Center St, Panguitch, UT 84759 | 2007-10-02 |
| Find all providers in zip 84759 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609015 | Corner Clinic Dental Stg | Clinic/Center | 2351 S River Rd Ste 4, St George, UT 84790-8749 | 2020-11-04 |
| 1124637665 | Pony Express Dental of Saratoga Springs | Clinic/Center | 2253 S. Talons Cove Drive, Saratoga Springs, UT 84045-8400 | 2020-07-30 |
| 1154947372 | Preston G. Hansen, Dds, Pllc | Clinic/Center | 7138 S Highland Dr Ste 211, Salt Lake City, UT 84121-3787 | 2020-06-23 |
| 1114549573 | Richfield Family Dental | Clinic/Center | 820 N Main St Ste 1, Richfield, UT 84701-1893 | 2020-05-08 |
| 1639790918 | Nic-utah County, LLC | Clinic/Center | 2230 N University Pkwy Ste 8b, Provo, UT 84604-6700 | 2020-04-28 |
| 1063032225 | Haven Dental LLC | Clinic/Center | 2685 N 1000 W, Pleasant View, UT 84414-2660 | 2020-04-17 |
| 1972139681 | Kayscreek Dental Pllc | Clinic/Center | 349 N Flint St, Kaysville, UT 84037-9807 | 2020-03-14 |
| 1831721240 | Sg Dental Pllc | Clinic/Center | 225 Skyhawk Dr, Wendover, UT 84083-4501 | 2020-02-05 |
| 1740829993 | V and S Dental LLC | Clinic/Center | 3816 W 13400 S Ste 200, Riverton, UT 84065-7888 | 2020-01-04 |
| 1124664834 | Simply Smiles Dental Utah | Clinic/Center | 2592 S 5600 W Ste 102, West Valley City, UT 84120-1274 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
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| 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.