Hildale Health Services LLC

Organization Active NPI Primary Care Clinic/Center · Hildale, UT

NPI 1790173615 · NPPES record last updated Dec 30, 2014

Key facts

NPI
1790173615
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
186597-4405 (UT)
Legal business name
HILDALE HEALTH SERVICES LLC
Practice address
1065 N. Hildale St,
Hildale, UT 84784-0459
Phone
(435) 633-6750
Fax
(435) 201-8680
NPI assigned
Dec 30, 2014
Organization subpart
No

Authorized official

Name
Mr. Ezra L. Nielsen
Title
Manager
Phone
(435) 633-6750

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Hildale Health Services LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 186597-4405 UT Yes

Addresses

Primary practice location

1065 N. Hildale St,
Hildale, UT 84784-0459

Mailing address

PO Box 840459
Hildale, UT 84784-0459
Phone (435) 633-6750

Other providers in Hildale, UT

All providers in Hildale, UT · Primary Care Clinic/Center in Utah

Sources for this page

Verify at the official NPI Registry.