Healthcare Provider Details

I. General information

NPI: 1447387519
Provider Name (Legal Business Name): ROCKY MOUNTAIN WOMEN'S HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 W ANTELOPE DR STE 290
LAYTON UT
84041-1179
US

IV. Provider business mailing address

PO BOX 844839
DALLAS TX
75284-4839
US

V. Phone/Fax

Practice location:
  • Phone: 801-776-0880
  • Fax: 801-773-7399
Mailing address:
  • Phone: 877-210-9143
  • Fax: 314-432-9683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: HOLDEN U HOLT
Title or Position: COO
Credential:
Phone: 801-776-0880