| Jordan Landing Clinic Llc | |
|
3895 W 7800 S Suite 100 West Jordan UT 84088-1966 | |
| (801) 280-7774 | |
| Not Available |
| Full Name | Jordan Landing Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3895 W 7800 S Suite 100, West Jordan, Utah |
| Authorized Official Name and Position | Brenten Clark Pugh (CEO) |
| Authorized Official Contact | 8012807774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Landing Clinic Llc 3895 W 7800 S Suite 100 West Jordan UT 84088-1966 Ph: (801) 280-7774 | Jordan Landing Clinic Llc 3895 W 7800 S Suite 100 West Jordan UT 84088-1966 Ph: (801) 280-7774 |
| NPI Number | 1962606657 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 5193825131 |
|---|---|
| Medicare Enrollment ID | O20070705000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962606657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 50540301205 (Utah) | Primary |
| Provider Name | Brenten C Pugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891742508 PECOS PAC ID: 9931153483 Enrollment ID: I20050308000416 |
| Provider Name | Dennis R Hamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568405397 PECOS PAC ID: 7517030646 Enrollment ID: I20080722000515 |
| Provider Name | Cheryl Scholes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184952822 PECOS PAC ID: 9032306980 Enrollment ID: I20101220000542 |
| Provider Name | Liana Olivia Kinikini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548510431 PECOS PAC ID: 6204071913 Enrollment ID: I20130401000172 |
| Provider Name | Daniel William Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851802888 PECOS PAC ID: 3476829797 Enrollment ID: I20171031002966 |
| Provider Name | Alexis Lauren Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538736731 PECOS PAC ID: 7416325394 Enrollment ID: I20221128000587 |
| Provider Name | Karty Dormera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033970322 PECOS PAC ID: 8022550920 Enrollment ID: I20240606003075 |
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Salson Clinics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1745 W 7800 S, West Jordan, UT 84088 Phone: 801-666-8640 Fax: 801-606-2815 | |
Christensen Family Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3075 W 7800 S, West Jordan, UT 84088 Phone: 801-565-9500 Fax: 801-304-7046 | |
Health First Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1561 W 7000 S, Suite 200, West Jordan, UT 84084 Phone: 801-562-5300 Fax: 801-562-1883 | |
Utah Lung Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3584 W 9000 S, West Jordan, UT 84088 Phone: 801-562-5864 Fax: 801-568-0202 | |
Granger Medical West Jordan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3181 W 9000 So, West Jordan, UT 84088 Phone: 801-352-5900 Fax: 801-352-5914 | |
Paul Pilgram M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1561 W 7000 S, Suite 200, West Jordan, UT 84084 Phone: 801-562-5300 Fax: 801-562-1883 |