Paiute Indian Tribe Of Utah
Clinic/Center in Richfield, UT. Organization (NPI-2).
NPI number1336316975
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1336316975
- Entity type
- Organization (NPI-2)
- Legal business name
- Paiute Indian Tribe Of Utah
- Organization subpart
- No
- Enumeration date
- May 13, 2008
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Richfield Medical Clinic (Other Name)
Practice location
826 N 100 ERichfield, UT 84701
Phone 435-893-0977
Mailing address
440 N Paiute DrCedar City, UT 84720-2681
Phone 435-586-1112 · Fax 435-867-1514
Authorized official
Tyler Prisbrey
Cfo
4355861112
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