Sevier Valley Medical Clinic PLLC
Organization Active NPI Family Medicine Physician · Salina, UT
NPI 1902185309 · NPPES record last updated Aug 16, 2011
Key facts
- NPI
- 1902185309
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3715201204 (UT)
- Legal business name
- SEVIER VALLEY MEDICAL CLINIC PLLC
- Practice address
- 131 E Main St
Suite 3
Salina, UT 84654-1335 - Phone
- (435) 529-4243
- Fax
- (435) 529-4239
- NPI assigned
- Aug 16, 2011
- Organization subpart
- No
Authorized official
- Name
- Kerry A Blackham, M.D.
- Title
- MD/Owner
- Phone
- (435) 529-4243
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 3715201204 | UT | Yes |
Addresses
Primary practice location
131 E Main St
Suite 3
Salina, UT 84654-1335
Mailing address
131 North Main Street
Suite 3
Salina, UT 84654-1107
Phone (435) 529-4243
Other providers in Salina, UT
- Rise Up Counseling
- Kassidy Robinson
- Rocky Mountain Behavioral Consultants
- Rocky Mountain Behavioral Consultants, PC
- Salina Family Medicine, LLC
- Barry K Sorenson
- South Central Therapies Inc
- Jill Tanner
- Wayne Community Health Centers, Inc
- Wayne Community Health Centers, Inc
All providers in Salina, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 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.