| Glendale Clinic | |
|
1388 S Navajo St Salt Lake City UT 84104-3444 | |
| (801) 955-2360 | |
| (877) 497-4661 |
| Full Name | Glendale Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1388 S Navajo St, Salt Lake City, Utah |
| Authorized Official Name and Position | Jennifer Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8014126920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Clinic 1455 W 2200 S Ste 300 West Valley City UT 84119-7219 Ph: (801) 412-6920 | Glendale Clinic 1388 S Navajo St Salt Lake City UT 84104-3444 Ph: (801) 955-2360 |
| NPI Number | 1255757670 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 5991698169 |
|---|---|
| Medicare Enrollment ID | O20150629002094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255757670 | NPI | - | NPPES |
| 1255757670 | Medicaid | UT |
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