| Red Mesa Housing Case Management | |
|
580 S 500 W Salt Lake City UT 84101-2209 | |
| (801) 746-6852 | |
| (801) 746-7687 |
| Full Name | Red Mesa Housing Case Management |
|---|---|
| Speciality | Case Management |
| Location | 580 S 500 W, Salt Lake City, Utah |
| Authorized Official Name and Position | Paul S Flack (ACTING EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8012147681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Mesa Housing Case Management 120 W 1300 S Salt Lake City UT 84115-5230 Ph: (801) 214-7681 | Red Mesa Housing Case Management 580 S 500 W Salt Lake City UT 84101-2209 Ph: (801) 746-6852 |
| NPI Number | 1285195446 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285195446 | NPI | - | NPPES |
| 11544773158 | Medicaid | UT |
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