NPI 1497164032

Whitecap Institiute

Organisation Health Maintenance Organization Heber City, UT

Practice location

Address: 380 E 1500 S STE 205, Heber City, UT 84032-3942
Phone: (435) 657-2105
Fax: (435) 709-3079

Authorised official

Name: Riley Dean Clark
Title: Dentist
Phone: (435) 657-1205

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 9053425-8903 (UT)

Other Health Maintenance Organization providers in Utah →

Registry record

NPI: 1497164032
Entity type: Organization
NPI issued: 7 Aug 2014
Record last updated: 7 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.