| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 11/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245267467 | NPI | - | NPPES |
| 1245267467 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |