Provider Demographics
NPI:1891728234
Name:TRICOUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:TRICOUNTY HEALTH DEPARTMENT
Other - Org Name:UINTAH COUNTY
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANGER
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:435-247-1181
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?:Yes
Parent Organization LBN:UINTAH COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-09
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare