Organization · Type 2 NPI
Hti Physician Services of Utah Inc
Rural Health Clinic/Center · New Plymouth, ID
NPI number
1104869965
Active
Practice location
112 S Plymouth Street
New Plymouth, ID 83655-0048
Mailing address
1717 Arlington Ave
Caldwell, ID 83605-4802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
About NPI 1104869965
Hti Physician Services of Utah Inc's National Provider Identifier is 1104869965, issued on Jun 13, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in New Plymouth, ID. The record was last updated on Oct 26, 2011.