Provider Demographics
NPI:1154844496
Name:COUNTY OF UINTA
Entity Type:Organization
Organization Name:COUNTY OF UINTA
Other - Org Name:UINTA COUNTY REPRODUCTIVE HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:PROFFIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-789-9203
Mailing Address - Street 1:225 9TH STREET
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:WY
Mailing Address - Zip Code:82930
Mailing Address - Country:US
Mailing Address - Phone:307-783-0300
Mailing Address - Fax:
Practice Address - Street 1:350 CITY VIEW DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:EVANSTON
Practice Address - State:WY
Practice Address - Zip Code:82930
Practice Address - Country:US
Practice Address - Phone:307-789-9203
Practice Address - Fax:307-789-6635
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF UINTA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare