NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

DHEW IND HLTH SVCS & MNTL HLTH SVCS
6822 E 1000 SOUTH
FORT DUCHESNE, UT84026
 Phone: 435-722-5122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dental Hygienist

124Q00000X
 

Endodontics

1223E0200X
 

General Practice

1223G0001X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for DHEW IND HLTH SVCS & MNTL HLTH SVCS

NPI # 1730341215
LBN Legal business name DHEW IND HLTH SVCS & MNTL HLTH SVCS
Authorized official DELBERT MARTIN - (CHIEF PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2008
Last updated 04/04/2013 - About 13 years ago
Identifiers
UT Medicaid 700000000009
AZ Other AZ0522260 BLUE CROSS BLUE SHIELD
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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