NPIMap

Organization Active NPI

Wayne Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Bicknell, UT
National Provider Identifier
1093816282
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WAYNE COMMUNITY HEALTH CENTERS INC
Practice address
128 S 300 W
Bicknell, UT 84715
Phone
(435) 425-3744
Fax
(435) 425-3785
NPI assigned
Sep 26, 2006
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darci Elmer
Title
Billing Manager
Phone
(435) 425-1104

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Dental Clinic/Center 261QD0000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

128 S 300 W
Bicknell, UT 84715

Mailing address

PO Box 303
Bicknell, UT 84715-0303
Phone (435) 425-3744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040113000649 UT Part B Supplier - Clinic/Group Practice 1254242233 Receives reassigned benefits from 27 practitioners
4 other NPIs on this enrollment
Practice locations: Bicknell, UT; Escalante, UT; Hanksville, UT; Salina, UT
O20070124000453 UT Part A Provider - Federally Qualified Health Center (FQHC) 1254242233 Practice locations: Bicknell, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093816282. Details of each certification follow.

Federally qualified health center certification: CCN 461802

Legal name
WAYNE COMMUNITY HEALTH CENTERS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 1992
Last certification
Jul 1, 1992
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 15, 1980 in UT
Enrollment address
128 South 300 West
Bicknell, UT 84715

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0670054Wayne Community Health Centers Inc128 S 300 W, Bicknell, UT 84715AccreditationApr 3, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDFCAD

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stanley Stowe Individual Corporate Director Dec 18, 2019
Christy Peterson Individual Corporate Director Jan 1, 2000
Patricia Reese Individual Corporate Director Feb 1, 2017
Scott Bigler Individual Corporate Officer Aug 1, 2017
Megan B New Individual Corporate Director Dec 1, 2015
Linda Rock Individual Corporate OfficerFinancial Officer Dec 12, 2016
Donavan Smith Individual Corporate DirectorCeo May 1, 2023
W-2 Managing EmployeeCeo May 1, 2023
Curtis Whipple Individual Corporate Officer May 23, 2018
Mike Riddle Individual Corporate Director Feb 2, 2018
Burke Torgerson Individual Corporate Officer Aug 28, 2019
Clint Albrecht Individual Corporate Officer Apr 24, 2019
Sally Sprouse Individual Corporate Director May 23, 2018
Donita Pace Individual Corporate Director Jul 1, 2017

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1093816282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "BICKNELL",
            "state": "UT",
            "postal_code": "847150303",
            "telephone_number": "435-425-3744",
            "fax_number": "435-425-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S 300 W",
            "city": "BICKNELL",
            "state": "UT",
            "postal_code": "84715",
            "telephone_number": "435-425-3744",
            "fax_number": "435-425-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COMMUNITY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "ELMER",
        "authorized_official_first_name": "DARCI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "435-425-1104"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bicknell, UT

Sources for this page

Verify at the official NPI Registry.