| Bountiful Family Healthcare | |
|
65 W 400 N Ste 200b Bountiful UT 84010-6475 | |
| (801) 298-3812 | |
| (877) 450-7813 |
| Full Name | Bountiful Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 65 W 400 N Ste 200b, Bountiful, Utah |
| Authorized Official Name and Position | Brian J Rodgers (OWNER) |
| Authorized Official Contact | 8012983812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bountiful Family Healthcare 65 W 400 N Ste 200b Bountiful UT 84010-6475 Ph: (801) 298-3812 | Bountiful Family Healthcare 65 W 400 N Ste 200b Bountiful UT 84010-6475 Ph: (801) 298-3812 |
| NPI Number | 1174539142 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 12/31/2021 |
| Medicare PECOS PAC ID | 0244205227 |
|---|---|
| Medicare Enrollment ID | O20040901000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174539142 | NPI | - | NPPES |
| 476806920005 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30835038904 (Utah) | Primary |
| Provider Name | Melissa Radcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992356240 PECOS PAC ID: 6103244306 Enrollment ID: I20200921002538 |
Bryan Bartholomew Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Medical Dr, Suite 200, Bountiful, UT 84010 Phone: 801-294-9333 Fax: 801-299-7811 | |
Eln Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 Orchard Dr Ste 103, Bountiful, UT 84010 Phone: 866-612-7449 | |
Holbrook Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 E 500 S, Bountiful, UT 84010 Phone: 801-299-4800 | |
Joe R Nielsen Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Dr, D-200, Bountiful, UT 84010 Phone: 801-292-6277 Fax: 801-292-1108 | |
Wade Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010 Phone: 801-292-1422 Fax: 801-296-0436 | |
Aspen Physician Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1217 E 1650 S, Bountiful, UT 84010 Phone: 801-997-1276 |