| Healthy Mind Set Intl Inc | |
|
7410 S Creek Rd Ste D100 Sandy UT 84093-6140 | |
| (801) 816-1010 | |
| Not Available |
| Full Name | Healthy Mind Set Intl Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7410 S Creek Rd Ste D100, Sandy, Utah |
| Authorized Official Name and Position | Timothy Graham (OWNER) |
| Authorized Official Contact | 8012145399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Mind Set Intl Inc 7410 S Creek Rd Ste D100 Sandy UT 84093-6140 Ph: () - | Healthy Mind Set Intl Inc 7410 S Creek Rd Ste D100 Sandy UT 84093-6140 Ph: (801) 816-1010 |
| NPI Number | 1295351278 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Medicare PECOS PAC ID | 4284046335 |
|---|---|
| Medicare Enrollment ID | O20201214001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295351278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Timothy Eugene Graham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134162258 PECOS PAC ID: 7517989924 Enrollment ID: I20090909000101 |
| Provider Name | Amnon Schlegel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093910796 PECOS PAC ID: 5294813358 Enrollment ID: I20100901000518 |
| Provider Name | Melanie P Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306252366 PECOS PAC ID: 5991922973 Enrollment ID: I20140814002710 |
| Provider Name | Jaclynn F Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598213175 PECOS PAC ID: 9436437852 Enrollment ID: I20161104001348 |
| Provider Name | Hosanna Angelina Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306344973 PECOS PAC ID: 1658631684 Enrollment ID: I20180212001649 |
| Provider Name | Brecken Dewey Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336830108 PECOS PAC ID: 8325489016 Enrollment ID: I20240513001658 |
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