MEDICARE: COUNTY OF WASATCH

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	251B00000X	Case Management Agency		UT
2	251K00000X	Public Health or Welfare Agency		UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	46106	OTHER	UT	PEHP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	TPR09150	OTHER	UT	MOLINA

General Provider Information

NPI Number	:	1891721577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF WASATCH

Provider Business Mailing Address
First Line	:	55 S 500 E
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-1918
Country	:	US
Telephone Number	:	435-654-2700
Fax Number	:	435-654-2705

Provider Business Practice Location Address
First Line	:	55 S 500 E
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-1918
Country	:	US
Telephone Number	:	435-654-2700
Fax Number	:	435-654-2705

Authorized Official
Title or Position	:	HEALTH DIRECTOR
Name	:	MR. CAMERON D. MITCHELL
Credential	:	M.P.S., L.E.H.S.
Telephone Number	:	435-657-3263

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1851320642 — DR. GEORGE D PITTS M.D.
Practice Location Address:

35 S 500 E
HEBER CITY, UT
84032-1918

Practice Phone: 435-654-1501
Practice Fax: 435-654-2030

1912939828 — ROBERT E SALAZAR P.A.
Practice Location Address:

35 S 500 E
HEBER CITY, UT
84032-1918

Practice Phone: 435-654-1501
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1033141924 — DR. NEAL J BURTON M.D.
Practice Location Address:

35 S 500 E
HEBER CITY, UT
84032-1918

Practice Phone: 435-654-1501
Practice Fax: 435-654-2030

1801012190 — MRS. JENNIFER PINTER L.P.C.
Practice Location Address:

55 S 500 E
HEBER CITY, UT
84032-1918

Practice Phone: 435-657-3231
Practice Fax:

1518183813 — MR. DENNIS A HANSEN M.S.W., L.C.S.W.
Practice Location Address:

55 S 500 E
HEBER CITY, UT
84032-1918

Practice Phone: 435-675-3226
Practice Fax: 435-654-0309

1154547750 — MRS. NITA SUE GRAHAM LSW
Practice Location Address:

55 S 500 E
HEBER CITY, UT
84032-1918

Practice Phone: 435-654-3003
Practice Fax: 435-654-3090

Directions to “COUNTY OF WASATCH ” Practice Location

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