KAZAN IVAN W MEMORIAL CLINIC
NPI 1568886000
Clinic/Center - Federally Qualified Health Center (FQHC) in Escalante, UT

Active since February 04, 2014
570 E MOQUI LN, ESCALANTE, UT 84726(435) 826-4374 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kazan Ivan W Memorial Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAZAN IVAN W MEMORIAL CLINIC (NPI 1568886000) is a healthcare organization registered as a federally qualified health center (fqhc) in Escalante, Utah and active in the NPI registry since February 2014. The organization lists Evan Christensen, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1568886000
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWAYNE COMMUNITY HEALTH CENTERS INC
Location Address570 E MOQUI LNEscalante, UT 84726-0276
Mailing AddressPo Box 303Bicknell, UT 84715-0303 · (435) 425-3744 · Fax (435) 425-3785
Organization SubpartYesParent: Wayne Community Health Centers Inc.
Authorized OfficialEvan ChristensenExecutive Director · (435) 425-3744
Enumeration DateFebruary 4, 2014
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
NPI 1568886000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
570 E MOQUI LN, Escalante, UT 84726

Other Names 1

Doing Business AsKazan Ivan W Memorial Clinic

Other Identifiers 1

Other000055193UT · Medicare Part B -

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
570 E MOQUI LN
ESCALANTE, UT 84726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Community Health Centers Inc's NPI number?

The NPI number for Wayne Community Health Centers Inc is 1568886000. It was assigned to this organization in the NPPES registry on February 4, 2014. The provider is doing business as Kazan Ivan W Memorial Clinic.

Where is Wayne Community Health Centers Inc located?

Wayne Community Health Centers Inc is located at 570 E Moqui Ln, Escalante, UT 84726. The listed phone number is (435) 826-4374.

What is Wayne Community Health Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Wayne Community Health Centers Inc accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Wayne Community Health Centers Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayne Community Health Centers Inc was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.