WASATCH HOMELESS HEALTH CARE INC. NPI 1043865074

NPI Information

  • NPI: 1043865074
  • Provider Name: WASATCH HOMELESS HEALTH CARE, INC.
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: 4TH STREET CLINIC
  • CLIA Number: 46D2305288
  • Address: 409 WEST 400 SOUTH
    SALT LAKE, UT
    ZIP 84101
  • Phone: (385) 234-5708

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NPI Details

WASATCH HOMELESS HEALTH CARE, INC. is a clinic pharmacy pharmacy in Salt Lake, UT. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. WASATCH HOMELESS HEALTH CARE, INC. NPI is 1043865074. The provider is registered as an organization entity type.
The provider Is Doing Business As 4th Street Clinic.

The provider's business location address is:

409 WEST 400 SOUTH
SALT LAKE, UT
ZIP 84101
Phone: (385) 234-5708
Fax: (801) 433-0153

The provider's authorized official is Laura Michalski .
The authorized official title is Chief Executive Officer and has the following contact phone number (801) 364-0058.

The CLIA number assigned to this NPI record is 46D2305288 - health fair with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/6/2019 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528128899MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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