Castle Country Family Medicine

LBN: Shane D Gagon Md, Pc
Castle Country Family Medicine is an health care organization with primary practice located at 377 No. Fairgrounds Rd. , Price UT 84501-4211. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Shane D Gagon Md, Pc can be contacted via phone (435) 613-2200, or through Stapley, Pat A via phone (435) 613-2210.

Contact Information

Primary practice address
377 No. Fairgrounds Rd. Price UT 84501-4211
Phone: (435) 613-2200
Fax: (435) 613-2201
Website:
Map and Directions
Authorized official contact:
Name: Stapley, Pat A
Phone: (435) 613-2210

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 361555-1205 Utah

Profile Details

NPI number 1982815064
LBN Legal business name Shane D Gagon Md, Pc
DBA Doing business as Castle Country Family Medicine
Authorized official Stapley, Pat A
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Dec 1st, 2010 - about 16 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 1982815064 NPPES
Utah Other DF8294 RAILROAD MEDICARE
Utah MEDICAID 529513346027 RAILROAD MEDICARE

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