MEDICARE: WHITE HEART FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1548128002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE HEART FOUNDATION

Provider Business Mailing Address
First Line	:	PO BOX 291
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-0291
Country	:	US
Telephone Number	:	818-914-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 W CENTER ST
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-1824
Country	:	US
Telephone Number	:	818-914-6000
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	RYAN SAWTELLE
Credential	:
Telephone Number	:	818-914-6000

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “WHITE HEART FOUNDATION ” Practice Location

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