| Fort Duchesne Phs Indian Health Center | |
|
6822 East 1000 South Fort Duchesne Phs Indian Health Center Fort Duchesne UT 84026 | |
| (435) 722-5122 | |
| (435) 722-9137 |
| Full Name | Fort Duchesne Phs Indian Health Center |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 6822 East 1000 South, Fort Duchesne, Utah |
| Authorized Official Name and Position | Delbert Gary Martin (CHIEF PHARMACIST) |
| Authorized Official Contact | 4357256874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Duchesne Phs Indian Health Center 6822 East 1000 South Fort Duchesne Phs Indian Health Center Fort Duchesne UT 84026 Ph: (435) 722-5122 | Fort Duchesne Phs Indian Health Center 6822 East 1000 South Fort Duchesne Phs Indian Health Center Fort Duchesne UT 84026 Ph: (435) 722-5122 |
| NPI Number | 1508887993 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508887993 | NPI | - | NPPES |
| 700000000009 | Medicaid | UT | |
| AZ0522260 | Other | AZ | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
Uintah & Ouray Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6822 East 1000 South, Fort Duchesne, UT 84026 Phone: 435-828-5214 |