DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM – NPI #1932360054
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM is a provider located in FORT DUCHESNE, UT. NPPES has assigned the NPI number 1932360054 to DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM on June 20, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM is also known by the name FORT DUCHESNE HEALTH CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 13 years ago on Apr 04, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM below.

NPI Profile for
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

NPI Number
1932360054
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Other Name: FORT DUCHESNE HEALTH CENTER
Primary location
6822 E 1000 SOUTH
FORT DUCHESNE, UT 84026
Phone: (435) 722-5122 Fax:
Mailing address
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Phone: (435) 722-5122 Fax:
Organization Subpart
No
Authorized Official
DELBERT MARTIN
CHIEF PHARMACIST
Phone: (435) 725-6874
Updated
Identifiers

Identifiers for DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT700000000009
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.