Organization
WASATCH HOMELESS HEALTH CARE, INC.
Active
Other names
Fourth Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE GARNER (BILLING SPECIALIST)
(801) 364-0058
Entity
Organization
Contact information
Practice address
8955 S HARRISON ST, SANDY, UT 84070-2055
(801) 364-0058
Mailing address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 364-0058
(801) 364-0061
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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