| Organization Name: | CENTRAL UTAH PUBLIC HEALTH DEPARTMENT |
| NPI Number: | 1073626412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE G COSTA (HEALTH OFFICER) |
| Mailing Address: | 70 Westview Dr Richfield |
| State: | UT US |
| Postal Code: | 847011868 |
| Phone Number: | 4358965451 |
| Fax Number: | 4358964353 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 04/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |