| Marian Center | |
|
451 East Bishop Federal Lane Salt Lake City UT 84115-2357 | |
| (801) 468-6856 | |
| (801) 468-6850 |
| Full Name | Marian Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 451 East Bishop Federal Lane, Salt Lake City, Utah |
| Authorized Official Name and Position | Soon Burnam (TREASURER) |
| Authorized Official Contact | 9495401249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Center 451 East Bishop Federal Lane Salt Lake City UT 84115-2357 Ph: (801) 468-6856 | Marian Center 451 East Bishop Federal Lane Salt Lake City UT 84115-2357 Ph: (801) 468-6856 |
| NPI Number | 1144526997 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 12/03/2018 |
| Medicare PECOS PAC ID | 3375724826 |
|---|---|
| Medicare Enrollment ID | O20110216001217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144526997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Utah) | Primary |
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