Organization
URBAN INDIAN CENTER OF SALT LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MATTHEW POSS (EXECUTIVE DIRECTOR)
(858) 204-2039
Entity
Organization
Contact information
Practice address
5450 S GREEN ST STE A, SALT LAKE CITY, UT 84123-5632
(801) 486-4877
Mailing address
120 W 1300 S, SALT LAKE CITY, UT 84115-5230
(801) 486-4877
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17666
—
UT
Enumeration date
12/23/2025
Last updated
12/23/2025
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