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NPI 1942681887 · Health Maintenance Organization · Lewiston, UT
Provider details
- NPI number
- 1942681887
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Ashley Denton, Owner/Lpn(435) 512-6152
- License
- 94107620160 (UT)
Specialties & taxonomies
Managed Care Organizations
Practice location
130 N Main St
Lewiston, UT 84320-1501
Phone: (435) 512-6152
Approximate (ZIP-level) locationGet directions
Mailing address
130 N Main St
Lewiston, UT 84320-1501
Registry dates
- Enumerated
- 2015-06-16
- Last updated
- 2015-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.