| Hti Physician Services Of Utah, Inc | |
|
307 Grove Parma ID 83660-0840 | |
| (208) 722-5147 | |
| Not Available |
| Full Name | Hti Physician Services Of Utah, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 307 Grove, Parma, 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 307 Grove Parma ID 83660-0840 Ph: (208) 722-5147 |
| NPI Number | 1740223502 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740223502 | NPI | - | NPPES |
| 1740223502 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |