| Organization Name: | HILDALE TOWN CORP |
| NPI Number: | 1982808705 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLEN JEFFS (MANAGER) |
| Mailing Address: | 900 North 350 East Hildale |
| State: | UT US |
| Postal Code: | 847841588 |
| Phone Number: | 4358742400 |
| Fax Number: | 4358742753 |
| NPI Enumeration Date: | 06/14/2007 |
| NPI Last Update Date: | 03/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 2720L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |