Organization
PAIUTE INDIAN TRIBE OF UTAH
Active
Other names
Four Points Health
Organization subpart
No
Provider details
NPI number
Authorized official
TARA PORATH (CREDENTIALING SPECIALIST)
(435) 867-1520
Entity
Organization
Contact information
Practice address
376 N PAIUTE DR, CEDAR CITY, UT 84721
(435) 867-1520
(435) 238-4987
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84720-2681
(435) 586-1112
(435) 867-1514
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
12/18/2023
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