| Uhbc | |
|
3471 S 4800 W West Haven UT 84401-9643 | |
| (801) 682-6683 | |
| Not Available |
| Full Name | Uhbc |
|---|---|
| Speciality | Counselor |
| Location | 3471 S 4800 W, West Haven, Utah |
| Authorized Official Name and Position | Nathan Mark Hadley (OWNER) |
| Authorized Official Contact | 8016826683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uhbc 3471 S 4800 W West Haven UT 84401-9643 Ph: (801) 682-6683 | Uhbc 3471 S 4800 W West Haven UT 84401-9643 Ph: (801) 682-6683 |
| NPI Number | 1548884257 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Medicare PECOS PAC ID | 2062833411 |
|---|---|
| Medicare Enrollment ID | O20200610003358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548884257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nathan M Hadley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265440713 PECOS PAC ID: 1658479142 Enrollment ID: I20070606000739 |
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