Bateman Horne Center Of Excellence Inc | |
24 S 1100 E Ste 205 Salt Lake City UT 84102-1580 | |
(801) 359-4000 | |
(801) 359-7404 |
Full Name | Bateman Horne Center Of Excellence Inc |
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Speciality | Internal Medicine |
Location | 24 S 1100 E Ste 205, Salt Lake City, Utah |
Authorized Official Name and Position | Robert Ence (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8015560458 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bateman Horne Center Of Excellence Inc 24 S 1100 E Ste 205 Salt Lake City UT 84102-1580 Ph: (801) 359-4000 | Bateman Horne Center Of Excellence Inc 24 S 1100 E Ste 205 Salt Lake City UT 84102-1580 Ph: (801) 359-4000 |
NPI Number | 1578931879 |
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Provider Enumeration Date | 09/03/2015 |
Last Update Date | 07/22/2024 |
Medicare PECOS PAC ID | 7618287731 |
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Medicare Enrollment ID | O20151102001798 |
Identifier | Type | State | Issuer |
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1578931879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Elizabeth Sherlock |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629230669 PECOS PAC ID: 6103817804 Enrollment ID: I20040520001604 |
Provider Name | Joyce C Ferrone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811107261 PECOS PAC ID: 2567512171 Enrollment ID: I20090602000451 |
Provider Name | Lucinda Bateman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346210267 PECOS PAC ID: 6709928641 Enrollment ID: I20100115000208 |
Provider Name | Brayden Paul Yellman |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1194011841 PECOS PAC ID: 5890081574 Enrollment ID: I20160906002059 |
Provider Name | Jennifer O Bell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184726911 PECOS PAC ID: 6507810322 Enrollment ID: I20211006000006 |
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