OrganizationActive
Wayne Community Health Centers Inc
NPI 1568886000 · Federally Qualified Health Center (FQHC) · Escalante, UT
Provider details
- NPI number
- 1568886000
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Wayne Community Health Centers Inc.
- Organization subpart
- Yes
- Authorized official
- Evan Christensen, Executive Director(435) 425-3744
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
570 E Moqui Ln
Escalante, UT 84726-0276
Phone: (435) 826-4374
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 303
Bicknell, UT 84715-0303
Other names (DBA / former)
- Doing business as
- Kazan Ivan W Memorial Clinic
Registry dates
- Enumerated
- 2014-02-04
- Last updated
- 2021-04-21
- Certified
- 2021-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.