Freedom Healthcare, Llc | |
8899 S 700 E Ste 250 Sandy UT 84070 | |
(801) 613-2711 | |
Not Available |
Full Name | Freedom Healthcare, Llc |
---|---|
Speciality | General Practice |
Location | 8899 S 700 E, Sandy, Utah |
Authorized Official Name and Position | Jeffrey Nelson (OWNER) |
Authorized Official Contact | 8019460294 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Freedom Healthcare, Llc 8899 S 700 E Ste 250 Sandy UT 84070-1810 Ph: () - | Freedom Healthcare, Llc 8899 S 700 E Ste 250 Sandy UT 84070 Ph: (801) 613-2711 |
NPI Number | 1770916306 |
---|---|
Provider Enumeration Date | 08/19/2013 |
Last Update Date | 07/19/2018 |
Medicare PECOS PAC ID | 7416181953 |
---|---|
Medicare Enrollment ID | O20131016000638 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770916306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 7465201-1204 (Utah) | Primary |
Provider Name | Jeffrey S Nelson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619961315 PECOS PAC ID: 1355515248 Enrollment ID: I20111110000165 |
Provider Name | Kenzlee Wooden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043851116 PECOS PAC ID: 2264867795 Enrollment ID: I20200110001166 |
Provider Name | Jennifer R Landberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922501139 PECOS PAC ID: 4981950631 Enrollment ID: I20200124001611 |
Provider Name | Jennifer Lynn Castillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386251742 PECOS PAC ID: 7810317393 Enrollment ID: I20201022000707 |
Vernon K. Liu Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 E 9400 S, Suite 102, Sandy, UT 84094 Phone: 801-576-1118 Fax: 801-576-1221 | |
Utah Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way Ste B, Sandy, UT 84092 Phone: 801-619-9000 | |