Hildale Health Services LLC
Organization Active NPI Clinic/Center · Colorado City, AZ
NPI 1336536770 · NPPES record last updated Apr 23, 2015
Key facts
- NPI
- 1336536770
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- AP4846 (AZ)
- Legal business name
- HILDALE HEALTH SERVICES LLC
- Practice address
- 20 South Colvin Street
Colorado City, AZ 86021-0459 - Phone
- (435) 633-6750
- Fax
- (435) 201-8680
- NPI assigned
- Apr 23, 2015
- Organization subpart
- No
Authorized official
- Name
- Ezra L Nielsen
- Title
- Owner
- Phone
- (435) 633-6750
Corporate family (same tax ID) 1
Practitioners 1
-
Beth Darger Barlow, HAD
National Provider Directory
- Tax ID family
- Hildale Health Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | AP4846 | AZ | Yes |
Addresses
Primary practice location
20 South Colvin Street
Colorado City, AZ 86021-0459
Mailing address
PO Box 459
Colorado City, AZ 86021-0459
Phone (435) 633-6750
Other providers in Colorado City, AZ
- Creek Valley Health Clinic
- Encompass Health Services, Inc.
- Danielle Hammon
- Esther Hammon
- Mark Harward
- Marianne Holmes
- Hometown Wellness PLLC
- Melanie S Honey
- Hannah Timpson Horsley
- Melissa Hunnicutt
All providers in Colorado City, AZ · Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2015. 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.