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Organization

COUNTY OF WASATCH

Active
Other names
Wasatch County
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CAMERON D. MITCHELL M.P.S., L.E.H.S. (HEALTH DIRECTOR)
(435) 657-3263
Entity
Organization

Contact information

Practice address
55 S 500 E, HEBER CITY, UT 84032-1918
(435) 654-2700
(435) 654-2705
Mailing address
55 S 500 E, HEBER CITY, UT 84032-1918
(435) 654-2700
(435) 654-2705

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
UT
251K00000X
Public Health or Welfare Agency
Primary
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46106
PEHP
UT
05
998877673007
UT
01
TPR09150
MOLINA
UT
Enumeration date
06/24/2006
Last updated
07/21/2022
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