Hti Physician Services Of Utah, Inc | |
307 Grove Parma ID 83660-0840 | |
(208) 722-5147 | |
Not Available |
Full Name | Hti Physician Services Of Utah, Inc |
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Speciality | Clinic/center - Rural Health |
Location | 307 Grove, Parma, 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 Physician Services Of Utah, Inc 1717 Arlington Ave Caldwell ID 83605-4802 Ph: () - | Hti Physician Services Of Utah, Inc 307 Grove Parma ID 83660-0840 Ph: (208) 722-5147 |
NPI Number | 1740223502 |
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Provider Enumeration Date | 06/13/2006 |
Last Update Date | 10/26/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740223502 | NPI | - | NPPES |
1740223502 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |