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Contact Information

HEALTH CLINICS OF UTAH
150 E. CENTER ST.
#1100
PROVO, UT84606
 Phone: 801-374-7011
 Fax: 801-374-7009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
Indicates primary specialty

NPI Profile & details for HEALTH CLINICS OF UTAH

NPI # 1982669982
LBN Legal business name HEALTH CLINICS OF UTAH
Authorized official STACEY KEYES - (HEALTH PROGRAM REPRESENTATIVE-BILLE)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2006
Last updated 05/18/2012 - About 14 years ago
Identifiers
UT License # 105991-1206
UT License # 1610961205
UT License # 285456-4405
UT Medicaid 05664
UT Medicaid 05665
UT Medicaid 535501136001
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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