Ashley Valley Physician Practice LLC
Ashley Valley Physician Practice LLC is a Rural Health Clinic/Center in Roosevelt, Utah. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
409 S 200 ERoosevelt, UT 84066-3314
Phone: (435) 781-0757
Fax: (435) 781-2628
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|
Record details
| NPI number | 1871834960 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ashley Valley Physician Practice LLC |
| Authorized official | Charlotte Lawrence — Secretary · (615) 920-7000 |
| Other names | Roosevelt Community Clinic; Roosevelt Community Clinic |
| NPI enumerated | March 14, 2013 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 18, 2024 |
| Mailing address | 409 S 200 E, Roosevelt, UT 84066-3314 |