Haily J Carter
Individual provider Active NPI Other Technician · Beaver, UT
NPI 1962694745 · NPPES record last updated Aug 15, 2007
Key facts
- NPI
- 1962694745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 75 W 1175 N
Beaver, UT 84713 - Phone
- (435) 438-5537
- Fax
- (435) 986-8700
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
75 W 1175 N
Beaver, UT 84713
Mailing address
474 W 200 N
Suite 300
St George, UT 84770-4505
Phone (435) 634-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CARTEH | Other | UT | SWCBH STAFF CODE |
Other providers in Beaver, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2007. 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.