| 4 Healing Center | |
|
45 E Vine St Murray UT 84107-7904 | |
| (801) 266-4643 | |
| (801) 266-4775 |
| Full Name | 4 Healing Center |
|---|---|
| Speciality | Social Worker |
| Location | 45 E Vine St, Murray, Utah |
| Authorized Official Name and Position | Janelle Nimer (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 8012664643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Healing Center 45 E Vine St Murray UT 84107-7904 Ph: (801) 266-4643 | 4 Healing Center 45 E Vine St Murray UT 84107-7904 Ph: (801) 266-4643 |
| NPI Number | 1033558697 |
|---|---|
| Provider Enumeration Date | 06/17/2013 |
| Last Update Date | 09/10/2020 |
| Certification Date | 09/10/2020 |
| Medicare PECOS PAC ID | 8325351414 |
|---|---|
| Medicare Enrollment ID | O20150717002678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033558697 | NPI | - | NPPES |
| Provider Name | Janet S Nimer-wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881663219 PECOS PAC ID: 6406905959 Enrollment ID: I20090513000057 |
| Provider Name | Janelle Nimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174584940 PECOS PAC ID: 7810112521 Enrollment ID: I20140730002698 |
| Provider Name | Lindsey Ann Macfarlane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205154978 PECOS PAC ID: 6709178692 Enrollment ID: I20160713002472 |
| Provider Name | Brianna Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053992206 PECOS PAC ID: 9436555208 Enrollment ID: I20210901003191 |
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