DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM (NPI# 1932360054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932360054 |
| Entity Type | Organization |
| Organization Name | DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM |
| Other Organization Name | FORT DUCHESNE HEALTH CENTER |
| Practice Address |
6822 E 1000 South Fort Duchesne UT 84026 |
| Mailing Address |
6822 East 1000 South Fort Duchesne UT 84026 |
| Practice Telephone | 4357225122 |
| Mailing Telephone | 4357225122 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MR. DELBERT GARY MARTIN (CHIEF PHARMACIST) |
| Authorized Official Telephone | 4357256874 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 700000000009 | 05 |
| Other Name | Type Code |
|---|---|
| Fort Duchesne Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949008 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 | 2017-01-27 |
| 1205859618 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 2121 West Reservation Loop Road, Camp Verde, AZ 86322 | 2006-07-26 |
| 1619377942 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Clinic/Center | 9010 Magnolia Ave, Riverside, CA 92503-4431 | 2014-08-22 |
| 1003083551 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Clinic/Center | 4212 North 16th Street, Phoenix Indian Medical Center Ambulatory Surgical Cent, Phoenix, AZ 85016-5319 | 2008-05-14 |
| 1831245661 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Psychologist | 100 North Gila Boulevard, Gila Bend, AZ 85227-2658 | 2007-01-26 |
| 1831244169 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Psychologist | 2121 West Reservation Loop Road, Camp Verde, AZ 86322 | 2007-01-25 |
| 1578618831 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Dentist | 2121 West Reservation Loop Road, Camp Verde, AZ 86322-8412 | 2007-01-24 |
| 1679628531 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Family Medicine | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2007-01-23 |
| 1730255639 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Durable Medical Equipment & Medical Supplies | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2006-11-24 |
| 1932274214 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Dentist | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2006-11-21 |
| Street Address |
6822 E 1000 SOUTH |
| City | FORT DUCHESNE |
| State | UT |
| Zip Code | 84026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730341215 | Dhew Ind Hlth Svcs & Mntl Hlth Svcs | Dentist | 6822 E 1000 South, Fort Duchesne, UT 84026 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568024347 | Jake Richardson | Dentist | 6932 E 1400 S, Fort Duchesne, UT 84026 | 2019-07-02 |
| 1740736321 | Infinite Quality Care | Assisted Living Facility | 338 W 2600 N, Pleasant Grove, UT 84026 | 2016-09-01 |
| 1225401763 | Ute Tribe Alcohol/substance Abuse Prevention | Community/Behavioral Health | 550 South 6777 East, Fort Duchesne, UT 84026 | 2015-11-05 |
| 1225400534 | Paul Jones | Licensed Practical Nurse | 6822 East / 1000 South, Fort Duchesne, UT 84026 | 2015-10-26 |
| 1821103094 | Bruce Allen Daniel | Dentist | 6822 E 1000 S, Ft. Duchesne, UT 84026 | 2006-08-20 |
| 1922031533 | Ute Indian Tribe | Ambulance | East Highway 40, Ft Duschesne, UT 84026 | 2006-07-08 |
| 1053319525 | Lawrence Michael Zubel | Optometrist | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2005-07-08 |
| 1245842962 | Eve O'pray-nichols | Registered Nurse | 6932 E 1400 S, Ft. Duchesne, UT 84026 | 2020-08-24 |
| 1124644430 | Red Pine Rtc | Substance Abuse Rehabilitation Facility | 550 South 6777 East, Fort Duchesne, UT 84026 | 2020-06-23 |
| 1952955478 | Kadee Pitt | Dental Hygienist | 6932 E 1400 S, Ft. Duchesne, UT 84026 | 2019-08-01 |
| Find all providers in zip 84026 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056269 | Dry Creek Integrative Medical LLC | General Practice | 3300 N Running Creek Way Bldg E, Lehi, UT 84043-5563 | 2020-09-08 |
| 1225647480 | Utah Therapeutic Health Center | General Practice | 740 E 3900 S Ste 108, Salt Lake City, UT 84107-2525 | 2020-07-23 |
| 1750922415 | Woundtech of Utah, Inc. | General Practice | 517 D St, Salt Lake City, UT 84103-2831 | 2019-10-03 |
| 1992355630 | East West Health Pleasant Grove LLC | General Practice | 11020 N 5500 W # 101, Highland, UT 84003-9643 | 2019-09-15 |
| 1396393369 | Root Medical | General Practice | 266 W 100 N Ste 2, Vernal, UT 84078-2026 | 2019-09-03 |
| 1154973576 | Koraima Morel Tirado | General Practice | 1035 W 190 S, Lehi, UT 84043-3833 | 2019-07-15 |
| 1841856986 | Northwestern Band of The Shoshone Nation Health & Human Services Dept. | General Practice | 241 W Forest St Ste A, Brigham City, UT 84302-2014 | 2019-05-14 |
| 1790297661 | The Bridge Recovery Center | General Practice | 98 N 6680 W, Hurricane, UT 84737-6138 | 2017-10-31 |
| 1790295947 | Low T Clinic, LLC | General Practice | 2150 N Main St Ste 10, North Logan, UT 84341-1740 | 2017-10-02 |
| 1104345636 | Coral Canyon Joint & Spine Health | General Practice | 83 S 2600 W Ste 102, Hurricane, UT 84737-3268 | 2017-09-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT DUCHESNE |
| Zip Code | 84026 |
Please comment or provide details below to improve the information on DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.