| Zhc Utah Llc | |
|
310 E 4500 S Ste 650 Murray UT 84107-3993 | |
| (801) 698-0746 | |
| Not Available |
| Full Name | Zhc Utah Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 E 4500 S Ste 650, Murray, Utah |
| Authorized Official Name and Position | James K Gilland (OWNER/PRESIDENT) |
| Authorized Official Contact | 3853787100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zhc Utah Llc 310 E 4500 S Ste 650 Murray UT 84107-3993 Ph: (801) 698-0746 | Zhc Utah Llc 310 E 4500 S Ste 650 Murray UT 84107-3993 Ph: (801) 698-0746 |
| NPI Number | 1356073878 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 8022462753 |
|---|---|
| Medicare Enrollment ID | O20230928001183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356073878 | NPI | - | NPPES |
| Provider Name | Benjamin R Eliason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659418267 PECOS PAC ID: 4789764317 Enrollment ID: I20170630001006 |
| Provider Name | Kenji Kihara Hammon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659902872 PECOS PAC ID: 8426422551 Enrollment ID: I20230313001657 |
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