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 | |
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 |