CARBON MEDICAL SERVICE ASSOCIATION, INCORPORTED – NPI #1124579230
Clinic/Center

CARBON MEDICAL SERVICE ASSOCIATION, INCORPORTED is an AHC clinic located in SUNNYSIDE, UT. NPPES has assigned the NPI number 1124579230 to CARBON MEDICAL SERVICE ASSOCIATION, INCORPORTED on October 24, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Apr 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARBON MEDICAL SERVICE ASSOCIATION, INCORPORTED below.

NPI Profile for
CARBON MEDICAL SERVICE ASSOCIATION, INCORPORTED

NPI Number
1124579230
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARBON MEDICAL SERVICE ASSOCIATION, INCORPORTED
Primary location
331 HIGHWAY 123
SUNNYSIDE, UT 84539
Phone: (435) 888-4411 Fax: (435) 888-2270
Mailing address
PO BOX 930
EAST CARBON, UT 84520-0930
Phone: (435) 888-4411 Fax: (435) 888-2270
Organization Subpart
Yes - CARBON MEDICAL SERVICE ASSOCIATION, INCORPORTED is subpart of another organization.
Authorized Official
LISA CLARK
EXECUTIVE DIRECTOR
Phone: (435) 888-4411
Updated
Certification Date
Apr 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CARBON MEDICAL SERVICE ASSOCIATION, INCORPORTED

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidUT=========
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.