| Elite Healthcare Providers Llc | |
|
3333 N Digital Dr Ste 400c Lehi UT 84043-6695 | |
| (801) 609-6034 | |
| (801) 609-6351 |
| Full Name | Elite Healthcare Providers Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3333 N Digital Dr Ste 400c, Lehi, Utah |
| Authorized Official Name and Position | Alexis Darlene Nelson (CEO/MANAGER) |
| Authorized Official Contact | 3853354422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Healthcare Providers Llc 3333 N Digital Dr Ste 400c Lehi UT 84043-6695 Ph: () - | Elite Healthcare Providers Llc 3333 N Digital Dr Ste 400c Lehi UT 84043-6695 Ph: (801) 609-6034 |
| NPI Number | 1346795325 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 01/28/2023 |
| Certification Date | 01/28/2023 |
| Medicare PECOS PAC ID | 1658650361 |
|---|---|
| Medicare Enrollment ID | O20161122000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346795325 | NPI | - | NPPES |
| Provider Name | Allen O Naylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295970804 PECOS PAC ID: 9638066418 Enrollment ID: I20040304000667 |
| Provider Name | Laine Earl Sabey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851337133 PECOS PAC ID: 8527045996 Enrollment ID: I20040702000600 |
| Provider Name | James Kevin Visker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144650664 PECOS PAC ID: 2961319835 Enrollment ID: I20180118001693 |
| Provider Name | Eric J Steadman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518556109 PECOS PAC ID: 1254748510 Enrollment ID: I20210402000323 |
| Provider Name | Andrew W Phippen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083069025 PECOS PAC ID: 0749697076 Enrollment ID: I20210607000563 |
| Provider Name | Dakota Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154088441 PECOS PAC ID: 5698150910 Enrollment ID: I20220922000209 |
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