# HEALTH CLINICS OF UTAH

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

## Provider details

- **NPI number:** 1225193584
- **Authorized official:** MS. RETT HANSEN (CLINIC COORDINATOR)
- **Authorized official phone:** (801) 626-3670

## Contact information

- **Practice address:** 2540 WASHINGTON BLVD, \#122, OGDEN, UT 84401-3122
- **Practice address phone:** (801) 626-3670
- **Practice address fax:** (801) 626-3646
- **Mailing address:** 2540 WASHINGTON BLVD, \#122, OGDEN, UT 84401-3122
- **Mailing address phone:** (801) 626-3670
- **Mailing address fax:** (801) 626-3646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | 3762451206 | UT | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 05/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1225193584 | — | UT |