|
| |
|
6287 S Redwood Rd Ste 101 Salt Lake City UT 84123-6653 | |
| (208) 376-3600 | |
| (208) 376-3616 |
| Full Name | |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 6287 S Redwood Rd Ste 101, Salt Lake City, Utah |
| Authorized Official Name and Position | Rose Mary Milner (VP OF OPERATIONS) |
| Authorized Official Contact | 2083763600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8119 W Ustick Rd Ste 103 Boise ID 83704-5754 Ph: (208) 376-3600 | 6287 S Redwood Rd Ste 101 Salt Lake City UT 84123-6653 Ph: (208) 376-3600 |
| NPI Number | 1326524851 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 06/16/2020 |
| Medicare PECOS PAC ID | 8426397340 |
|---|---|
| Medicare Enrollment ID | O20190311001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326524851 | NPI | - | NPPES |
City Creek Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 S West Temple Ste 100, Salt Lake City, UT 84101 Phone: 801-364-7943 Fax: 801-364-3373 | |
Judd E Partridge Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7138 S Highland Dr, Suite 211, Salt Lake City, UT 84121 Phone: 801-943-8703 Fax: 801-943-5150 | |
Greater Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 Phone: 801-268-3636 Fax: 801-942-7652 | |
Cottonwood Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 S Highland Dr, Suite #110, Salt Lake City, UT 84121 Phone: 801-943-3233 | |