Organization
HILDALE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EZRA L. NIELSEN (MANAGER)
(435) 633-6750
Entity
Organization
Contact information
Practice address
1065 N. HILDALE ST,, HILDALE, UT 84784-0459
(435) 633-6750
(435) 201-8680
Mailing address
PO BOX 840459, HILDALE, UT 84784-0459
(435) 633-6750
(435) 201-8680
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
186597-4405
UT
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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