| The Utah House | |
|
1370 S West Temple Salt Lake City UT 84115-5218 | |
| (801) 678-3317 | |
| (385) 229-4324 |
| Full Name | The Utah House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1370 S West Temple, Salt Lake City, Utah |
| Authorized Official Name and Position | Alycia Jurgela (CEO) |
| Authorized Official Contact | 8016783317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Utah House 1370 S West Temple Salt Lake City UT 84115-5218 Ph: (801) 678-3317 | The Utah House 1370 S West Temple Salt Lake City UT 84115-5218 Ph: (801) 678-3317 |
| NPI Number | 1972930501 |
|---|---|
| Provider Enumeration Date | 09/27/2013 |
| Last Update Date | 09/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972930501 | NPI | - | NPPES |
| 1477985516 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20825 (Utah) | Primary |
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