| NPI | 1801063441 |
|---|---|
| Other Name | SHIVWITS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TYLER PRISBREY CFO 435-586-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2024-02-13 |