GREEN RIVER MEDICAL CENTER INC (NPI# 1942317722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942317722 |
| Entity Type | Organization |
| Organization Name | GREEN RIVER MEDICAL CENTER INC |
| Practice Address |
585 West Main St. Box 417 Green River UT 84525-0417 |
| Practice Telephone | 4355643434 |
| Practice Fax Number | 4355643214 |
| Mailing Telephone | 4355643434 |
| Mailing Fax Number | 4355643214 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MARY B WINTERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4355643434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 572622038001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841540077 | Green River Medical Center Inc | Pharmacy | 585 West Main Street, Green River, UT 84525 | 2012-09-14 |
| Street Address |
585 WEST MAIN ST. BOX 417 |
| City | GREEN RIVER |
| State | UT |
| Zip Code | 84525-0417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061929 | Zackery N Taylor | Pharmacist | 585 W Main St, Green River, UT 84525 | 2018-11-07 |
| 1689134868 | Green River Medical Center, Inc. | Pharmacy | 585 West Main Street, Green River, UT 84525 | 2019-03-22 |
| 1861962912 | Tyler J Rundell | Physician Assistant | 585 Main St, Green River, UT 84525 | 2018-12-03 |
| 1841540077 | Green River Medical Center Inc | Pharmacy | 585 West Main Street, Green River, UT 84525 | 2012-09-14 |
| 1821243684 | Shannon Taylor Thurston | Physician Assistant | 585 West Main Street, Green River, UT 84525 | 2008-11-20 |
| 1497840987 | Loye West | Physician Assistant | 305 West Main Street, Green River, UT 84525 | 2006-10-03 |
| 1043648108 | Amber Dawn Fowler | Counselor | 585 W. Main Street, Green River, UT 84525-0417 | 2013-10-28 |
| 1326081084 | Kim Thyrill Mcfarlane | Physician Assistant | 585 West Main Street, Green River, UT 84525-0417 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440443 | Jeanette Paladino | Case Manager/Care Coordinator | 360 Greasewood St, Green River, WY 82935-4722 | 2020-09-04 |
| 1760094411 | Shannon Christine Miller | Respite Care | 1750 New Mexico St, Green River, WY 82935-6252 | 2020-08-22 |
| 1467060301 | Roy Allen Lloyd | Case Management | 345 Anvil Dr Apt B, Green River, WY 82935-5487 | 2020-07-16 |
| 1205474160 | Matthew Gelston Herron | Case Manager/Care Coordinator | 700 Shoshone Ave Unit 26, Green River, WY 82935-5558 | 2019-12-11 |
| 1841854544 | Hilary Violet Hollihan Leavitt | Case Manager/Care Coordinator | 2030 Wyoming Dr, Green River, WY 82935-5851 | 2019-04-28 |
| 1427528488 | Richard Percifield | Counselor | 400 N 1st East St Ste 107a, Green River, WY 82935-4247 | 2018-12-03 |
| 1871061929 | Zackery N Taylor | Pharmacist | 585 W Main St, Green River, UT 84525 | 2018-11-07 |
| 1437660131 | Jennifer Ann Brown | Speech-Language Pathologist | 215 Maple Cir, Green River, WY 82935-4765 | 2017-10-20 |
| 1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
| 1073054508 | Jodie S Hix | Physical Therapy Assistant | 1715 Hitching Post Drive, Green River, WY 82935-6600 | 2017-03-16 |
| Find all providers in GREEN RIVER | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1528128899 | Wasatch Homeless Health Care, Inc. | Clinic/Center | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2006-12-09 |
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| 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 |
| 1144834771 | Carbon Medical Service Assocation, Incorporated | Clinic/Center | 305 Center St, East Carbon, UT 84520-7726 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | GREEN RIVER |
| Zip Code | 84525 |
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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.