Hti Physician Services of Utah Inc
Organization Active NPI Rural Health Clinic/Center · New Plymouth, ID
NPI 1104869965 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1104869965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- HTI PHYSICIAN SERVICES OF UTAH INC
- Practice address
- 112 S Plymouth Street
New Plymouth, ID 83655-0048 - Phone
- (208) 278-3406
- NPI assigned
- Jun 13, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- WEST VALLEY MEDICAL CENTER
Authorized official
- Name
- Mrs. Julie Taylor
- Title
- Ceo
- Phone
- (208) 455-3718
Practitioners 1
-
Beverly A Schiffler, FNP
National Provider Directory
- Part of
- West Valley Medical Center Inc
Interoperability endpoints
- https://mountainstarhealthfhirprd.app.medcity.net/fhir-proxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
112 S Plymouth Street
New Plymouth, ID 83655-0048
Mailing address
1717 Arlington Ave
Caldwell, ID 83605-4802
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104869965 | Medicaid | ID |
Other providers in New Plymouth, ID
- Building Bridges LLC
- Nicholas Paul Cordell
- Marie Lynne Esplin
- Gianna Bella Fletcher
- Fulcro Holdings LLC
- Crystal Marie McNally
- New Plymouth Clinic
- New Plymouth School District #372
- Jennifer Michelle Ries
- Angela M Saitta
All providers in New Plymouth, ID · Rural Health Clinic/Center in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.