Green River Medical Center, Inc.

LBN: Green River Medical Center, Inc.
Green River Medical Center, Inc. is an health care organization with primary practice located at 585 West Main Street , Green River UT 84525. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Green River Medical Center, Inc. can be contacted via phone (435) 564-3434, or through Dunham, Paula Jean via phone (435) 564-0213.

Contact Information

Primary practice address
585 West Main Street Green River UT 84525
Phone: (435) 564-3434
Fax: (435) 564-3214
Website:
Map and Directions
Authorized official contact:
Name: Dunham, Paula Jean
Phone: (435) 564-0213

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1689134868
LBN Legal business name Green River Medical Center, Inc.
DBA Doing business as
Authorized official Dunham, Paula Jean
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 22nd, 2019
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689134868 NPPES
Utah Other 11065988-1703 UTAH DOPL PHARMACY CLASS A LICENSE
Utah Other 11065988-8913 UTAH DOPL PHARMACY CLASS A LICENSE
Utah MEDICAID 261QF0400X UTAH DOPL PHARMACY CLASS A LICENSE

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