Provider Demographics
NPI:1285450403
Name:HEALTH SERVICES UTAH HOLDINGS
Entity type:Organization
Organization Name:HEALTH SERVICES UTAH HOLDINGS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-484-5952
Mailing Address - Street 1:10557 W CARLTON BAY DR STE 201
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:ID
Mailing Address - Zip Code:83714-5215
Mailing Address - Country:US
Mailing Address - Phone:208-484-5952
Mailing Address - Fax:
Practice Address - Street 1:91 N 100 W
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2011
Practice Address - Country:US
Practice Address - Phone:208-484-5952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment