WAYNE COMMUNITY HEALTH CENTERS INC. (NPI# 1891142071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891142071 |
| Entity Type | Organization |
| Organization Name | WAYNE COMMUNITY HEALTH CENTERS INC. |
| Other Organization Name | SOUTHWEST/WCHC MENTAL HEALTH |
| Practice Address |
601 East Center Street Panguitch UT 84759 |
| Mailing Address |
Po Box 303 Wayne Community Health Centers Inc. Bicknell UT 84715-0303 |
| Practice Telephone | 4358264374 |
| Practice Fax Number | 4358264354 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | EVAN CHRISTENSEN (CEO) |
| Authorized Official Telephone | 4354253744 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
362182-3501 | UT | Ambulatory Health Care Facilities |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
362182-3501 | UT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE PART B OSCAR | 000055193 | 01 |
| Other Name | Type Code |
|---|---|
| Southwest/WCHC Mental Health | Doing Business As Name - Organization |
| Street Address |
601 EAST CENTER STREET |
| City | PANGUITCH |
| State | UT |
| Zip Code | 84759 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851812085 | Wayne Community Health Center, Inc | Clinic/Center | 75 North 200 East, Panguitch, UT 84759 | 2017-06-28 |
| 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 | ||||
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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.