Provider Demographics
NPI:1205214806
Name:UINTAH COUNTY
Entity Type:Organization
Organization Name:UINTAH COUNTY
Other - Org Name:TRICOUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:L
Authorized Official - Last Name:GESSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-247-1177
Mailing Address - Street 1:133 S 500 E
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-2728
Mailing Address - Country:US
Mailing Address - Phone:435-247-1177
Mailing Address - Fax:435-781-0536
Practice Address - Street 1:133 S 500 E
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2728
Practice Address - Country:US
Practice Address - Phone:435-247-1177
Practice Address - Fax:435-781-0536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare