| NPI | 1720379936 |
|---|---|
| Doing Business As | COALVILLE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGORY DENNIS IVERSON Family Physician/Managing Member 435-336-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: UT 7261660-1204) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-11-30 |