| Aleracare Of Utah Inc | |
|
470 E 3900 S Ste 100 Salt Lake City UT 84107-2331 | |
| (888) 209-8874 | |
| Not Available |
| Full Name | Aleracare Of Utah Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 470 E 3900 S Ste 100, Salt Lake City, Utah |
| Authorized Official Name and Position | Scott Friedman (EXECUTIVE VP) |
| Authorized Official Contact | 8882098874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleracare Of Utah Inc 4045 E Bell Rd Ste 157 Phoenix AZ 85032-2240 Ph: (888) 209-8874 | Aleracare Of Utah Inc 470 E 3900 S Ste 100 Salt Lake City UT 84107-2331 Ph: (888) 209-8874 |
| NPI Number | 1164012431 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 09/20/2024 |
| Medicare PECOS PAC ID | 0446664312 |
|---|---|
| Medicare Enrollment ID | O20210204001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164012431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Belinda Brokke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750768842 PECOS PAC ID: 3072825868 Enrollment ID: I20151209002472 |
| Provider Name | Kelsie Jo Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548752827 PECOS PAC ID: 9234481953 Enrollment ID: I20181008003542 |
| Provider Name | Courtney Marie Gormus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518585025 PECOS PAC ID: 6103242144 Enrollment ID: I20200820002019 |
| Provider Name | Timothy J Burns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245277243 PECOS PAC ID: 2365457330 Enrollment ID: I20201002002303 |
| Provider Name | Jennifer Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730762345 PECOS PAC ID: 9133520273 Enrollment ID: I20210628001756 |
| Provider Name | Suzanne Marie Strasters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689321275 PECOS PAC ID: 2860849270 Enrollment ID: I20231107001679 |
| Provider Name | Alaina Abdelaziz Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376238717 PECOS PAC ID: 3072961713 Enrollment ID: I20231120000220 |
| Provider Name | Natalie Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942915137 PECOS PAC ID: 6507228160 Enrollment ID: I20240307003567 |
| Provider Name | Tiffany Shadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750560298 PECOS PAC ID: 0941466973 Enrollment ID: I20240930001841 |
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