Healthcare Provider Details

I. General information

NPI: 1861068082
Provider Name (Legal Business Name): UTAH PARTNERS FOR HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9103 S 1300 W STE 102
WEST JORDAN UT
84088-6709
US

IV. Provider business mailing address

9103 S 1300 W STE 102
WEST JORDAN UT
84088-6709
US

V. Phone/Fax

Practice location:
  • Phone: 801-417-0131
  • Fax:
Mailing address:
  • Phone: 801-417-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBBIE TURNER
Title or Position: CEO
Credential:
Phone: 385-645-6001