Provider Demographics
NPI:1902521859
Name:UTAH HEALTH POLICY PROJECT
Entity Type:Organization
Organization Name:UTAH HEALTH POLICY PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TAKE CARE UTAH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-830-9714
Mailing Address - Street 1:2369 W ORTON CIR STE 20
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-7603
Mailing Address - Country:US
Mailing Address - Phone:801-433-2299
Mailing Address - Fax:
Practice Address - Street 1:2369 W ORTON CIR STE 20
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-7603
Practice Address - Country:US
Practice Address - Phone:801-433-2299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable