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835 E 4800 S Ste 220 Murray UT 84107-5533 | |
| (385) 368-8229 | |
| (801) 747-6858 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 835 E 4800 S Ste 220, Murray, Utah |
| Authorized Official Name and Position | Frank David Elder (MANAGER) |
| Authorized Official Contact | 3853688228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1212 Oakridge Dr P.o. Box 301 Centerville UT 84014-1540 Ph: (801) 657-1581 | 835 E 4800 S Ste 220 Murray UT 84107-5533 Ph: (385) 368-8229 |
| NPI Number | 1497126858 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 2961794722 |
|---|---|
| Medicare Enrollment ID | O20160714001910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497126858 | NPI | - | NPPES |
| Provider Name | Frank D Elder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821390790 PECOS PAC ID: 7012145543 Enrollment ID: I20140108001117 |
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