| Renew Healthcare Llc | |
|
2131 Kays Creek Dr Layton UT 84040-7881 | |
| (801) 917-9000 | |
| Not Available |
| Full Name | Renew Healthcare Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2131 Kays Creek Dr, Layton, Utah |
| Authorized Official Name and Position | Mark Flinders (CEO) |
| Authorized Official Contact | 8019179000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Healthcare Llc 2131 Kays Creek Dr Layton UT 84040-7881 Ph: (801) 917-9000 | Renew Healthcare Llc 2131 Kays Creek Dr Layton UT 84040-7881 Ph: (801) 917-9000 |
| NPI Number | 1548955479 |
|---|---|
| Provider Enumeration Date | 04/06/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 5698133726 |
|---|---|
| Medicare Enrollment ID | O20230622001752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548955479 | NPI | - | NPPES |
| Provider Name | Rebecca A Roe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164839585 PECOS PAC ID: 2567729825 Enrollment ID: I20171122001240 |
| Provider Name | Nathan Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841075611 PECOS PAC ID: 6204290513 Enrollment ID: I20230919003029 |
| Provider Name | Katie Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558827683 PECOS PAC ID: 7214278951 Enrollment ID: I20231010001583 |
| Provider Name | Carla Sandbek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336663228 PECOS PAC ID: 7719429729 Enrollment ID: I20240605003722 |
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