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4535 S 5600 W West Valley City UT 84120-4639 | |
(801) 676-4405 | |
(877) 497-4661 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4535 S 5600 W, West Valley City, Utah |
Authorized Official Name and Position | Jennifer Thomas (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8014126920 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1455 W 2200 S Ste 300 West Valley City UT 84119-7219 Ph: (801) 412-6920 | 4535 S 5600 W West Valley City UT 84120-4639 Ph: (801) 676-4405 |
NPI Number | 1326417445 |
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Provider Enumeration Date | 09/18/2015 |
Last Update Date | 10/30/2023 |
Medicare PECOS PAC ID | 5991698169 |
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Medicare Enrollment ID | O20160204001354 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326417445 | NPI | - | NPPES |
1326417445 | Medicaid | UT |
Vamos Health Ut Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S Ste 107, West Valley City, UT 84120 Phone: 502-333-2281 | |
Healing Center Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W 3500 S Ste B, West Valley City, UT 84119 Phone: 801-955-8888 Fax: 801-955-8889 |