| NPI | 1427437144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BAILEY Executive Director 801-429-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2025-03-27 |