Mayfield Community Care Center, Inc.
Organization Active NPI Nursing Facility/Intermediate Care Facility · Centerfield, UT
NPI 1003846478 · NPPES record last updated Jul 1, 2011
Key facts
- NPI
- 1003846478
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 2004-NCF-67 (UT)
- Legal business name
- MAYFIELD COMMUNITY CARE CENTER, INC.
- Practice address
- 10 W 400 S
Centerfield, UT 84622 - Phone
- (435) 528-2800
- Fax
- (435) 528-2828
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy N Peterson, HFA
- Title
- Administrator/Owner
- Phone
- (435) 528-2800
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Gunnison Valley Hosp Su
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 2004-NCF-67 | UT | Yes |
Addresses
Primary practice location
10 W 400 S
Centerfield, UT 84622
Mailing address
PO Box 99
Mayfield, UT 84643-0099
Phone (435) 528-2800
Other names
- Community Living Center
Other providers in Centerfield, UT
- Clear Creek Counseling and Consulting LLC
- Freewill Foundation Inc
- Gunnison Valley Hospital
- Shelby Lund
- Braige Lee Marsh
- Mission Health Services Inc
- Taleigh Petersen
- Dustin Van Peterson
- Jonda J. Purper
- Jaclyn Quarnberg
All providers in Centerfield, UT · Nursing Facility/Intermediate Care Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.