Fort Duchesne Health Center

LBN: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Fort Duchesne Health Center is an health care organization with primary practice located at 6822 E 1000 South , Fort Duchesne UT 84026. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Dental Providers / Dentist, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Podiatric Medicine & Surgery Service Providers / Podiatrist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm can be contacted via phone (435) 722-5122, or through Martin, Delbert Gary via phone (435) 725-6874.

Contact Information

Primary practice address
6822 E 1000 South Fort Duchesne UT 84026
Phone: (435) 722-5122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Delbert Gary RPH
Phone: (435) 725-6874

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Dental Providers / Dentist 122300000X
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1932360054
LBN Legal business name Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
DBA Doing business as Fort Duchesne Health Center
Authorized official Martin, Delbert Gary RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2008
Last updated Apr 4th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932360054 NPPES
Utah MEDICAID 700000000009

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