Hti Physican Services Of Utah,inc | |
124 5th Street Suite A Wilder ID 83676-0037 | |
(208) 482-7430 | |
Not Available |
Full Name | Hti Physican Services Of Utah,inc |
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Speciality | Clinic/center - Rural Health |
Location | 124 5th Street, Wilder, Idaho |
Authorized Official Name and Position | Julie Taylor (CEO) |
Authorized Official Contact | 2084553718 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hti Physican Services Of Utah,inc 1717 Arlington Ave Caldwell ID 83605-4802 Ph: () - | Hti Physican Services Of Utah,inc 124 5th Street Suite A Wilder ID 83676-0037 Ph: (208) 482-7430 |
NPI Number | 1245267467 |
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Provider Enumeration Date | 06/26/2006 |
Last Update Date | 11/07/2011 |
Identifier | Type | State | Issuer |
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1245267467 | NPI | - | NPPES |
1245267467 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |