Organization
DHHS IHS PHOENIX AREA
Active
Other names
UNITAH & OURAY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNNE OLDCOYOTE COO (CHIEF OPERATING OFFICER)
(435) 725-6811
Entity
Organization
Contact information
Practice address
6822 E 1000 S, FORT DUCHESNE, UT 84026
(435) 725-6874
(435) 725-6889
Mailing address
PO BOX 160, FORT DUCHESNE, UT 84026-0160
(435) 725-5122
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100125
PK
—
Enumeration date
02/22/2007
Last updated
02/18/2026
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