| Slrmc, Llc | |
|
1050 E South Temple Salt Lake City UT 84102-1507 | |
| (801) 350-4111 | |
| Not Available |
| Full Name | Slrmc, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1050 E South Temple, Salt Lake City, Utah |
| Authorized Official Name and Position | Michael Gingras (DIVISION CFO) |
| Authorized Official Contact | 8015685995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slrmc, Llc 1050 E South Temple Salt Lake City UT 84102-1507 Ph: (801) 350-4111 | Slrmc, Llc 1050 E South Temple Salt Lake City UT 84102-1507 Ph: (801) 350-4111 |
| NPI Number | 1568108561 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568108561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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