WAYNE COMMUNITY HEALTH CENTERS, INC (NPI# 1871014092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871014092 |
| Entity Type | Organization |
| Organization Name | WAYNE COMMUNITY HEALTH CENTERS, INC |
| Other Organization Name | ESCALANTE DENTAL |
| Practice Address |
65 North Center Street Escalante UT 84776-0276 |
| Mailing Address |
Po Box 303 Bicknell UT 84715-0303 |
| Practice Telephone | 4358264333 |
| Practice Fax Number | 4358264336 |
| 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 | N |
| 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 |
|---|---|
| EscaLante Dental | Doing Business As Name - Organization |
| Street Address |
65 NORTH CENTER STREET |
| City | ESCALANTE |
| State | UT |
| Zip Code | 84776-0276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902174147 | Laree Bybee | Social Worker | 265 N 250 W, Tropic, UT 84776 | 2011-12-02 |
| 1891997938 | Garfield County School District | Local Education Agency (LEA) | 500 W. Center, Tropic, UT 84776-0286 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962826362 | Wayne Community Health Centers Inc | Pharmacy | 65 N Center St, Escalante, UT 84726-0276 | 2014-02-06 |
| 1134562903 | Mark William Anderson | Marriage & Family Therapist | 500 S. 580 W., Escalante, UT 84726 | 2013-04-11 |
| 1497096457 | Jennifer Marie Evans | Pharmacist | 570 E Moqui Ln, Escalante, UT 84726-7753 | 2013-03-14 |
| 1952616591 | Turn-about Ranch, Inc. | Psychiatric Residential Treatment Facility | 280 North 300 East, Escalante, UT 84726-0345 | 2010-08-06 |
| 1619179751 | Garfield County | Clinic/Center | 65 N Center, Escalante, UT 84726-0276 | 2007-06-01 |
| 1114542388 | Acorn Care LLC | In Home Supportive Care | 60 E 100 N, Escalante, UT 84726-7828 | 2020-06-12 |
| 1568886000 | Wayne Community Health Centers Inc | Clinic/Center | 570 E Moqui Ln, Escalante, UT 84726-0276 | 2014-02-04 |
| 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 |
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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.