| Direct Care Medical Home Clinic Llc | |
|
7611 S Jordan Landing Blvd Ste 200 West Jordan UT 84084-5612 | |
| (801) 260-1919 | |
| (801) 260-1441 |
| Full Name | Direct Care Medical Home Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7611 S Jordan Landing Blvd Ste 200, West Jordan, Utah |
| Authorized Official Name and Position | Rachot K Vacharothone (OWNER/ URGENT CARE PHYSICIAN) |
| Authorized Official Contact | 8012601919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Care Medical Home Clinic Llc 7611 S Jordan Landing Blvd Ste 200 West Jordan UT 84084-5612 Ph: (801) 260-1919 | Direct Care Medical Home Clinic Llc 7611 S Jordan Landing Blvd Ste 200 West Jordan UT 84084-5612 Ph: (801) 260-1919 |
| NPI Number | 1730507161 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730507161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Utah) | Primary |
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