# HILDALE HEALTH SERVICE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093818593
- **Authorized official:** MR. EZRA L. NIELSEN (ADMINISTRATOR)
- **Authorized official phone:** (435) 874-2217

## Contact information

- **Practice address:** 1065 N HILDALE ST, HILDALE, UT 84784-0459
- **Practice address phone:** (435) 874-2217
- **Practice address fax:** (435) 874-7817
- **Mailing address:** 1065 N HILDALE ST, HILDALE, UT 84784-0459
- **Mailing address phone:** (435) 874-2217
- **Mailing address fax:** (435) 874-7817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 07/21/2022