| Generational Healthcare Llc | |
|
1264 W Village Main Dr Ste A West Valley City UT 84119-3396 | |
| (801) 972-0393 | |
| (801) 972-5707 |
| Full Name | Generational Healthcare Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1264 W Village Main Dr, West Valley City, Utah |
| Authorized Official Name and Position | Michael Frogley (REGISTERED AGENT) |
| Authorized Official Contact | 8017262338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generational Healthcare Llc 1264 W Village Main Dr Ste A West Valley City UT 84119-3396 Ph: (801) 972-0393 | Generational Healthcare Llc 1264 W Village Main Dr Ste A West Valley City UT 84119-3396 Ph: (801) 972-0393 |
| NPI Number | 1447640784 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 10/12/2018 |
| Medicare PECOS PAC ID | 7517286792 |
|---|---|
| Medicare Enrollment ID | O20150511001301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447640784 | NPI | - | NPPES |
| Provider Name | Steven C Lore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922090356 PECOS PAC ID: 0042289936 Enrollment ID: I20040928000526 |
| Provider Name | Michael R Frogley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316126741 PECOS PAC ID: 6709968803 Enrollment ID: I20080129000192 |
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 | |
Molina Medical Group Of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2196 West 3500 South, Suite C1, West Valley City, UT 84119 Phone: 562-499-6191 Fax: 562-499-6171 | |
Granite Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4163 S 3200 W, West Valley City, UT 84119 Phone: 801-964-9355 Fax: 801-967-2692 | |
3 Form - West Valley City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 S 2300 W Ste B, West Valley City, UT 84119 Phone: 801-975-7505 | |
Gastroenterology West Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3336 S 4155 W, Ste 306, West Valley City, UT 84120 Phone: 901-964-3855 Fax: 801-208-6367 | |
West Valley Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5373 W Lake Park Blvd, West Valley City, UT 84127 Phone: 801-442-1853 | |
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 |