Hti Physician Services Of Utah INC
Clinic/Center, Rural Health in New Plymouth, ID. Organization (NPI-2).
NPI number1104869965
StatusActive
Last updated in NPPESOct 26, 2011
Details
- NPI
- 1104869965
- Entity type
- Organization (NPI-2)
- Legal business name
- Hti Physician Services Of Utah INC
- Organization subpart
- Yes
- Enumeration date
- Jun 13, 2006
- Last updated
- Oct 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Practice location
112 S Plymouth StreetNew Plymouth, ID 83655-0048
Phone 208-278-3406
Mailing address
1717 Arlington AveCaldwell, ID 83605-4802
Authorized official
Julie Taylor
Ceo
2084553718
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