OrganizationActive
Garfield County
NPI 1619179751 · Rural Health Clinic/Center · Escalante, UT
Provider details
- NPI number
- 1619179751
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alberto Vasquez, Administrator(435) 676-8811
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
65 N Center
Escalante, UT 84726-0276
Phone: (435) 826-4374
Approximate (ZIP-level) locationGet directions
Mailing address
4646 Lake Park Blvd
Salt Lake City, UT 84120-8212
Other names (DBA / former)
- Doing business as
- Kazan Ivan W. Memorial Clinic
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2016-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.