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HILDALE HEALTH SERVICES LLC NPI 1336536770


NPI Information

NPI: 1336536770
Provider Name: HILDALE HEALTH SERVICES LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
20 SOUTH COLVIN STREET
COLORADO CITY, AZ
ZIP 86021
Phone: (435) 633-6750
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HILDALE HEALTH SERVICES LLC is a clinic center in Colorado City, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HILDALE HEALTH SERVICES LLC NPI is 1336536770. The provider is registered as an organization entity type.

The provider's business location address is:

20 SOUTH COLVIN STREET
COLORADO CITY, AZ
ZIP 86021-459
Phone: (435) 633-6750
Fax: (435) 201-8680

The provider's authorized official is Ezra L Nielsen .
The authorized official title is Owner and has the following contact phone number (435) 633-6750.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 4/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterAP4846ARIZONAYes

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: 4/28/2024

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