Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm, NPI 1508887993
Federal Public Health Clinic/Center in Fort Duchesne, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1508887993
NPI Entity Type Organization
Provider Name Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6822 East 1000 South, Fort Duchesne Phs Indian Health Center, Fort Duchesne, UT, US
Provider Mailing Address 6822 East 1000 South, Fort Duchesne Phs Indian Health Center, Fort Duchesne, UT, US, 84026
Is Sole Proprietor? No
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Organization Official

Official Name MR. RPH Delbert Gary Martin
Official Position CHIEF PHARMACIST
Phone 435-725-6874

Primary Taxonomy

Taxonomy Code

261QP0904X

Taxonomy Name Federal Public Health Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Other Organization Name

Fort Duchesne PHS Indian Health Center
Doing Business As

Business Address

Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm
6822 East 1000 South
Fort Duchesne Phs Indian Health Center

Fort Duchesne, UT, US

Phone: 435-722-5122
Fax: 435-722-9137

Mailing Address

Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm
6822 East 1000 South
Fort Duchesne Phs Indian Health Center
Fort Duchesne, UT, US
ZIP 84026
Phone: 435-722-5122
Fax: 435-722-9137

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
700000000009 UT MEDICAID 05
AZ0522260 AZ BLUE CROSS 01

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NPI Name Taxonomy Address

1902227101

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Candice Yeaman

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Dylan Smart

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8031 S 700 E

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Alexis Suzanne Goodwin

Individual

Behavior Technician

2025 S 50 W

Bountiful, UT

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