ENTERPRISE VALLEY MEDICAL CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Enterprise, UT. ENTERPRISE VALLEY MEDICAL CLINIC, INC. NPI is 1659457786. The provider is registered as an organization entity type.
The provider's business location address is:
223 SOUTH 200 EAST
ENTERPRISE, UT
ZIP 84725-370
Phone: (435) 878-2281
Fax: (435) 878-2434
The provider's authorized official is C.j. Hansen .
The authorized official title is Executive Director and has the following contact phone number (435) 878-2281.
The CLIA number assigned to this NPI record is 46D0525794 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/22/2020.