| Edelweiss Senior Care Pllc | |
|
4995 W 11200 N Highland UT 84003-9411 | |
| (801) 884-6100 | |
| Not Available |
| Full Name | Edelweiss Senior Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4995 W 11200 N, Highland, Utah |
| Authorized Official Name and Position | Matt Schellenberg (OWNER) |
| Authorized Official Contact | 8018846100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edelweiss Senior Care Pllc 4995 W 11200 N Highland UT 84003-9411 Ph: (801) 884-6100 | Edelweiss Senior Care Pllc 4995 W 11200 N Highland UT 84003-9411 Ph: (801) 884-6100 |
| NPI Number | 1427810316 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 2365881208 |
|---|---|
| Medicare Enrollment ID | O20240411003699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427810316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew Schellenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386855021 PECOS PAC ID: 0941371173 Enrollment ID: I20080616000770 |
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