| Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm | |
|
6932 East 1400 South Fort Duchesne UT 84026 | |
| (435) 722-5122 | |
| (435) 722-9137 |
| Full Name | Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 6932 East 1400 South, Fort Duchesne, Utah |
| Authorized Official Name and Position | Maurice James (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4357256888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm 6932 East 11400 South Fort Duchesne UT 84026 Ph: (435) 722-5122 | Dhew Ind Hlth Sv Hlth Svs&mntal Hlth Adm 6932 East 1400 South Fort Duchesne UT 84026 Ph: (435) 722-5122 |
| NPI Number | 1508887993 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 02/23/2026 |
| 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 |
Dhhs Ihs Phoenix Area Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6932 East 1400 South, Fort Duchesne, UT 84026 Phone: 435-725-5122 |