| Utah State University | |
|
6813 Old Main Hill Logan UT 84322-6813 | |
| (435) 797-3822 | |
| Not Available |
| Full Name | Utah State University |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6813 Old Main Hill, Logan, Utah |
| Authorized Official Name and Position | Shegay Cook (PROGRAMS ADMINISTRATOR) |
| Authorized Official Contact | 4357971415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah State University 1415 Old Main Hill Logan UT 84322-1415 Ph: (435) 797-1226 | Utah State University 6813 Old Main Hill Logan UT 84322-6813 Ph: (435) 797-3822 |
| NPI Number | 1063679785 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063679785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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