=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174402978
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MH HEALTH CARE SERVICES, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/27/2025
-----------------------------------------------------
Last Update Date | 08/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 845 OVERLAND ST
-----------------------------------------------------
City | NORTH SALT LAKE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84054-2123
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-880-4662
-----------------------------------------------------
Fax | 833-760-3815
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1433
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03802-1433
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-434-3255
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | TERRY LAYMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 866-434-3255
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QC1800X
-----------------------------------------------------
Taxonomy Name | Corporate Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------