Fort Duchesne Indian Health Center Radiology

LBN: Fort Duchesne Indian Health Center Radiology
Fort Duchesne Indian Health Center Radiology is an health care organization with primary practice located at 6822 East 1000 South , Fort Duchesne UT 84026. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Fort Duchesne Indian Health Center Radiology can be contacted via phone (435) 725-6874, or through Martin, Delbert Gary via phone (435) 725-6874.

Contact Information

Primary practice address
6822 East 1000 South Fort Duchesne UT 84026
Phone: (435) 725-6874
Fax: (435) 725-6889
Website:
Map and Directions
Authorized official contact:
Name: Martin, Delbert Gary RPH
Phone: (435) 725-6874

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1306076625
LBN Legal business name Fort Duchesne Indian Health Center Radiology
DBA Doing business as Fort Duchesne Indian Health Center Radiology
Authorized official Martin, Delbert Gary RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2009
Last updated Apr 4th, 2013 - about 11 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 1306076625 NPPES
Utah MEDICAID 700000000009

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