| NPI | 1861815110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BAILEY CEO 801-429-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2025-03-27 |