NPIMap

Organization Active NPI

Wayne Community Health Centers, Inc

Doing business as Salina Family Medicine Clinic

  • Federally Qualified Health Center (FQHC)
  • Salina, UT
National Provider Identifier
1659979193
Registry record updated Feb 22, 2021
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
Doing business as
Salina Family Medicine Clinic
Practice address
131 E Main St # 3
Salina, UT 84654-1335
Phone
(435) 529-2215
NPI assigned
Oct 16, 2020
Last updated
Feb 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Ramona Larsen
Title
Credentialing Specialist
Phone
(435) 425-1143

Specialties & licenses 2

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

Addresses

Primary practice location

131 E Main St # 3
Salina, UT 84654-1335

Mailing address

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

Other names 1

  • Salina Family Medicine Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

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
This NPI is an additional NPI on the enrollment
Practice locations: Bicknell, UT; Escalante, UT; Hanksville, UT; Salina, UT

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1659979193",
    "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": "435-425-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E MAIN ST # 3",
            "city": "SALINA",
            "state": "UT",
            "postal_code": "846541335",
            "telephone_number": "435-529-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COMMUNITY HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "CREDENTIALING  SPECIALIST",
        "authorized_official_telephone_number": "435-425-1143"
    },
    "taxonomies": [
        {
            "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": [
        {
            "organization_name": "Salina Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salina Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.