| Hti Physician Services Of Utah Inc | |
|
112 S Plymouth Street New Plymouth ID 83655-0048 | |
| (208) 278-3406 | |
| Not Available |
| Full Name | Hti Physician Services Of Utah Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 112 S Plymouth Street, New Plymouth, 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 Physician Services Of Utah Inc 1717 Arlington Ave Caldwell ID 83605-4802 Ph: () - | Hti Physician Services Of Utah Inc 112 S Plymouth Street New Plymouth ID 83655-0048 Ph: (208) 278-3406 |
| NPI Number | 1104869965 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104869965 | NPI | - | NPPES |
| 1104869965 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Valley Family Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N. Plymouth, New Plymouth, ID 83655 Phone: 208-278-3335 Fax: 208-278-3337 |