Organization
UTAH COUNTY
Active
Parent organization
UTAH COUNTY
Other names
Utah County BYB
Organization subpart
Yes
Provider details
NPI number
Legal business name
UTAH COUNTY
Authorized official
DR. JOSEPH K MINER MD MSPH (EXECUTIVE DIRECTOR)
(801) 851-7011
Entity
Organization
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 1900, PROVO, UT 84601-4427
(801) 851-7042
(801) 851-7063
Mailing address
151 S UNIVERSITY AVE, SUITE 1900, PROVO, UT 84601-4427
(801) 851-7042
(801) 343-8724
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
251K00000X
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103003506102
SELECT HEALTH ID
UT
01
—
55102
PEHP PROVIDER ID
UT
01
—
73-00012
UNITED HEALTH CARE ID
UT
05
—
998877660009
—
UT
05
—
PR00489
—
UT
01
—
QM0000039389
ALTIUS PROVIDER ID
UT
Enumeration date
11/13/2006
Last updated
03/02/2010
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