Organization Name: | DAVIS COUNTY HEALTH QP |
NPI Number: | 1003941535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEWIS GARRETT (BILLING) |
Mailing Address: | 50 E State St Farmington |
State: | UT US |
Postal Code: | 840252343 |
Phone Number: | 8014513331 |
Fax Number: | 8014513331 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 08/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |