Organization
DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM
Active
Other names
Uintah & Ouray Service Unit, Fort Duchesne PHS Indian Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE JAMES CEO (CHIEF EXECUTIVE OFFICER)
(435) 725-6888
Entity
Organization
Contact information
Practice address
6932 EAST 1400 SOUTH, FORT DUCHESNE, UT 84026
(435) 722-5122
(435) 722-9137
Mailing address
6932 EAST 11400 SOUTH, FORT DUCHESNE, UT 84026
(435) 722-5122
(435) 722-9137
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700000000009
—
UT
01
—
AZ0522260
BLUE CROSS
AZ
Enumeration date
07/21/2006
Last updated
02/23/2026
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