| Evolutionary Healthcare Llc | |
|
461 E 200 S Ste 100 Salt Lake City UT 84111-2102 | |
| (801) 519-2461 | |
| (801) 596-3785 |
| Full Name | Evolutionary Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 461 E 200 S, Salt Lake City, Utah |
| Authorized Official Name and Position | John V. Rettie (OFFICE MANAGER) |
| Authorized Official Contact | 8015192461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolutionary Healthcare Llc 461 E 200 S Ste 100 Salt Lake City UT 84111-2102 Ph: (801) 519-2461 | Evolutionary Healthcare Llc 461 E 200 S Ste 100 Salt Lake City UT 84111-2102 Ph: (801) 519-2461 |
| NPI Number | 1851349344 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 02/13/2008 |
| Medicare PECOS PAC ID | 2860404225 |
|---|---|
| Medicare Enrollment ID | O20060629000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851349344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carol A Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568464030 PECOS PAC ID: 8123030582 Enrollment ID: I20060630000025 |
| Provider Name | Christopher A Gay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205926805 PECOS PAC ID: 5395824338 Enrollment ID: I20080502000151 |
Ted R Schultz Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 Padley St, Salt Lake City, UT 84108 Phone: 801-202-4892 | |
Intermountain Healthcare Flu Shot Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 N Terminal Dr, Salt Lake City, UT 84122 Phone: 801-292-6100 | |
U-u Pulmonary Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Ldsh Cancer Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 9th Ave, Salt Lake City, UT 84103 Phone: 801-442-1400 | |
Bmt Division Department Of University Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Circle Of Hope Dr, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
All For Women Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 E 3300 S, Salt Lake City, UT 84109 Phone: 801-746-7467 Fax: 801-746-7469 | |
University Of Utah Hospital Infectious Disease Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6336 |