Organization
WASATCH HOMELESS HEALTH CARE, INC.
Active
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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