| St Mark's Hospital Behavioral Health Services | |
|
1200 E 3900 S Salt Lake City UT 84124-1300 | |
| (801) 268-7432 | |
| (855) 846-5094 |
| Full Name | St Mark's Hospital Behavioral Health Services |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1200 E 3900 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Michael L. Herron (CFO) |
| Authorized Official Contact | 8012687092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mark's Hospital Behavioral Health Services 1200 E 3900 S Salt Lake City UT 84124-1300 Ph: (801) 268-7432 | St Mark's Hospital Behavioral Health Services 1200 E 3900 S Salt Lake City UT 84124-1300 Ph: (801) 268-7432 |
| NPI Number | 1457794323 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Medicare PECOS PAC ID | 2668379397 |
|---|---|
| Medicare Enrollment ID | O20130429000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457794323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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