| Jordan Meadows Medical Center. | |
|
3354 W 7800 S West Jordan UT 84088-4506 | |
| (801) 282-2677 | |
| (801) 282-2050 |
| Full Name | Jordan Meadows Medical Center. |
|---|---|
| Speciality | Family Medicine |
| Location | 3354 W 7800 S, West Jordan, Utah |
| Authorized Official Name and Position | Frederic M Civish (OWNER) |
| Authorized Official Contact | 8012822677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Meadows Medical Center. 3354 W 7800 S West Jordan UT 84088-4506 Ph: (801) 282-2677 | Jordan Meadows Medical Center. 3354 W 7800 S West Jordan UT 84088-4506 Ph: (801) 282-2677 |
| NPI Number | 1205957131 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 12/23/2010 |
| Medicare PECOS PAC ID | 3678461951 |
|---|---|
| Medicare Enrollment ID | O20040308001440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205957131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 184916-1205 (Utah) | Primary |
| Provider Name | Michelle M Dahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225197379 PECOS PAC ID: 7416845797 Enrollment ID: I20040308001428 |
| Provider Name | Frederic M Civish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124137278 PECOS PAC ID: 9032007315 Enrollment ID: I20040415000335 |
| Provider Name | Steven W Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962562603 PECOS PAC ID: 5092729616 Enrollment ID: I20060202000417 |
| Provider Name | Elyse E Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063721611 PECOS PAC ID: 1153589403 Enrollment ID: I20120216000416 |
| Provider Name | John T Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477965275 PECOS PAC ID: 8123343506 Enrollment ID: I20150205001229 |
| Provider Name | Stacy Ann Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952821753 PECOS PAC ID: 7810269925 Enrollment ID: I20170824002426 |
| Provider Name | Andrew Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548829336 PECOS PAC ID: 0244568830 Enrollment ID: I20190820003638 |
| Provider Name | Erin Wice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932736758 PECOS PAC ID: 9830519636 Enrollment ID: I20201016000657 |
| Provider Name | Paula S Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407445950 PECOS PAC ID: 6800297235 Enrollment ID: I20210623001605 |
| Provider Name | Skyler Dane Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114638038 PECOS PAC ID: 7416329677 Enrollment ID: I20230216000871 |
| Provider Name | Abigail Jane Bertola Spainhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538948377 PECOS PAC ID: 4981041365 Enrollment ID: I20240320003697 |
Catholic Health Initiatives Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 W 9000 S Ste 120, West Jordan, UT 84088 Phone: 801-208-1075 Fax: 385-351-6735 | |
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 |