NPI | 1366864043 |
---|---|
Doing Business As | CHP |
Entity Type | Organization |
Authorized Contact | PATRICK B EGBERT VP/CEO 801-641-9178 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: UT 12443716003) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2014-01-14 |