Castleview Hospital LLC
A Medicare group practice based in Price, UT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9032021043), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9032021043
- Provider type
- Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- UT
- Enrollments
- 3
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20031001000035 | UT | Part A Provider - Hospital | 1417064205 |
| O20040105000319 | UT | Part B Supplier - Clinic/Group Practice | 1639253321 |
| O20050622001418 | UT | Part A Provider - Rural Health Clinic | 1285771220 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Castleview Hospital, LLC
dba Emery Medical Center
- Rural Health Clinic/Center
- Castle Dale, UT
- NPI 1285771220
Practice locations
- Price, UT6
- Castledale, UT1
- Castle Dale, UT1
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (5).
-
Glenn T. Etzel, M.D.
- Family Medicine Physician
- Price, UT
- NPI 1083727408
-
Tiffany Lyn Jeffs, DNP, FNP-BC, FNP-C
- Nurse Practitioner
- Castle Dale, UT
- NPI 1487335402
-
Dalen Lee Johnson, APRN
- Nurse Practitioner
- East Carbon, UT
- NPI 1922318450
-
Eugene Douglas Larsen Jr., DO
- Internal Medicine Physician
- Price, UT
- NPI 1447513221
-
Ingrid Adams Olsen, P.T., P.A.-C
- Medical Physician Assistant
- Price, UT
- NPI 1326233610
-
Emily Payne
- Physician Assistant
- South Jordan, UT
- NPI 1932874104
-
Gabriel James Sermon, PA-C
- Medical Physician Assistant
- Draper, UT
- NPI 1639299282
-
David Mathis Thayn
- Hospitalist Physician
- Price, UT
- NPI 1386802916
-
Paul Anthony Thayn, M.D.
- Pediatrics Physician
- Price, UT
- NPI 1639311186
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.