Provider Demographics
NPI:1417268962
Name:HEPFREE INC
Entity Type:Organization
Organization Name:HEPFREE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHER
Authorized Official - Middle Name:
Authorized Official - Last Name:STRUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-815-2437
Mailing Address - Street 1:24 SOUTH 1100 EAST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102
Mailing Address - Country:US
Mailing Address - Phone:801-815-2437
Mailing Address - Fax:801-531-9704
Practice Address - Street 1:24 S 1100 E
Practice Address - Street 2:SUITE 103
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1500
Practice Address - Country:US
Practice Address - Phone:801-815-2437
Practice Address - Fax:801-531-9704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health