Organization Name: | CARBON MEDICAL SERVICE ASSOCATION, INCORPORATED |
NPI Number: | 1679749196 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN SUE ABEYTA (EXECUTIVE DIRECTOR) |
Mailing Address: | 125 S Main St Helper |
State: | UT US |
Postal Code: | 845261535 |
Phone Number: | 4354727000 |
Fax Number: | 4354723208 |
NPI Enumeration Date: | 05/05/2008 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |