| Hildale Health Services Llc | |
|
1065 N. Hildale St, Hildale UT 84784-0459 | |
| (435) 633-6750 | |
| (435) 201-8680 |
| Full Name | Hildale Health Services Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1065 N. Hildale St,, Hildale, Utah |
| Authorized Official Name and Position | Ezra L. Nielsen (MANAGER) |
| Authorized Official Contact | 4356336750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hildale Health Services Llc Po Box 840459 Hildale UT 84784-0459 Ph: (435) 633-6750 | Hildale Health Services Llc 1065 N. Hildale St, Hildale UT 84784-0459 Ph: (435) 633-6750 |
| NPI Number | 1790173615 |
|---|---|
| Provider Enumeration Date | 12/30/2014 |
| Last Update Date | 12/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790173615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 186597-4405 (Utah) | Primary |
Hildale Health Service Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1065 N Hildale St, Hildale, UT 84784 Phone: 435-874-2217 Fax: 435-874-7817 |