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Contact Information

WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
750 N FREEDOM BLVD
SUITE 300
PROVO, UT84601
 Phone: 801-373-4760
 Fax: 801-373-0639
 Website:
Indicates primary specialty

NPI Profile & details for WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT

NPI # 1356357115
LBN Legal business name WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT
Authorized official DORAN WILLIAMS - (ASSOCIATE DIRECTORE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2006
Last updated 04/30/2021 - About 5 years ago
Identifiers
UT Medicaid 870285565012
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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